Healthcare Provider Details

I. General information

NPI: 1174493290
Provider Name (Legal Business Name): TAYLOR MCKOY DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5085 MORGANTON RD STE 300
FAYETTEVILLE NC
28314-1497
US

IV. Provider business mailing address

108 PURPLE MARTIN PL
FAYETTEVILLE NC
28306-8262
US

V. Phone/Fax

Practice location:
  • Phone: 910-229-5490
  • Fax:
Mailing address:
  • Phone: 910-229-5490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6010
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number19078
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: