MEDICARE: SHERMAN PRESTON MCCOY JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1811832314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERMAN PRESTON MCCOY JR.

Provider Business Mailing Address
First Line	:	14004 DUNWOOD VALLEY DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-1243
Country	:	US
Telephone Number	:	301-379-8221
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 TINGEY ST SE APT 220
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-4612
Country	:	US
Telephone Number	:	301-379-8221
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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