Healthcare Provider Details

I. General information

NPI: 1386170983
Provider Name (Legal Business Name): MOLLY E MCCOY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2017
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 S CARROLLTON AVE
NEW ORLEANS LA
70118-4307
US

IV. Provider business mailing address

3201 S CARROLLTON AVE
NEW ORLEANS LA
70118-4307
US

V. Phone/Fax

Practice location:
  • Phone: 504-207-3060
  • Fax:
Mailing address:
  • Phone: 717-843-8623
  • Fax: 504-207-3060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number340860
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: