Healthcare Provider Details

I. General information

NPI: 1922312883
Provider Name (Legal Business Name): ALIA MARGUERITE MCCOY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2010
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9730 DORCHESTER RD UNIT 103
SUMMERVILLE SC
29485-9034
US

IV. Provider business mailing address

9730 DORCHESTER RD UNIT 103
SUMMERVILLE SC
29485-9034
US

V. Phone/Fax

Practice location:
  • Phone: 843-900-6034
  • Fax: 843-900-6034
Mailing address:
  • Phone: 843-900-6034
  • Fax: 843-900-6034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4490
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: