MEDICARE: DR. ROWLAND EUGENE MCCOY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN12924	FL

General Provider Information

NPI Number	:	1972583664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROWLAND EUGENE MCCOY DDS

Provider Business Mailing Address
First Line	:	287 GRAND CYPRESS DR
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39305-8024
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 FULLER RD
Second Line	:	BLDG 367
City	:	MERIDIAN
State	:	MS
Zip	:	39309-5106
Country	:	US
Telephone Number	:	601-679-2022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	07/08/2007

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