Healthcare Provider Details

I. General information

NPI: 1306757463
Provider Name (Legal Business Name): DARIAN MCCORD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 SIMPSON HIGHWAY 149
MAGEE MS
39111-3877
US

IV. Provider business mailing address

PO BOX 1460
MAGEE MS
39111-1460
US

V. Phone/Fax

Practice location:
  • Phone: 601-849-2734
  • Fax: 601-849-2735
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT8277
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: