Chandra A. Mccoy
Sports Medicine
1 Plaza Dr
Ravenswood
, West Virginia 26164-1718
Chandra A. Mccoy
Sports Medicine
1 Plaza Dr
Ravenswood
, West Virginia 26164-1718
(304) 372-7350
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Chandra A. Mccoy
- 1 W School St
- Ripley, WV
- Zip : 25271-5279
- Phone : (304) 372-7350
Second Address
- Chandra A. Mccoy
- 1 Plaza Dr
- Ravenswood, WV
- Zip : 26164-1718
- Phone : (304) 273-9301
Reviews
FAQs
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What type of doctor is Chandra A. Mccoy
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Is Chandra A. Mccoy a sole practitioner?
Is Chandra A. Mccoy accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 069902841 | WV |
| Y | 213ES0000X | Sports Medicine | 069902841 | WV |
National Provider Identifier
| NPI | 1396378477 |
|---|---|
| Provider Name | Chandra A. Mccoy |
| First Address | Ripley, WV 25271-5279 |
| Second Address | Ravenswood, WV 26164-1718 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/02/2020 |
| Last Update Date | 18/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 069902841 | NATABOC (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.