Healthcare Provider Details

I. General information

NPI: 1437139078
Provider Name (Legal Business Name): JAMES A MCCOIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 HARRIS RD BLDG #5
KILMARNOCK VA
22482-3845
US

IV. Provider business mailing address

141 WHALEY WAY
WHITE STONE VA
22578
US

V. Phone/Fax

Practice location:
  • Phone: 804-435-3146
  • Fax:
Mailing address:
  • Phone: 804-577-4273
  • Fax: 804-577-4273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101046830
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: