Jordan Spencer Mccoy
Orthopaedic Surgeon
1 Genesys Pkwy
Grand Blanc
, Michigan 48439-8065
Jordan Spencer Mccoy
Orthopaedic Surgeon
1 Genesys Pkwy
Grand Blanc
, Michigan 48439-8065
(509) 475-4414
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Jordan Spencer Mccoy
- 8328 Deer Creek Ct
- Grand Blanc, MI
- Zip : 48439-9261
- Phone : (509) 475-4414
Second Address
- Jordan Spencer Mccoy
- 1 Genesys Pkwy
- Grand Blanc, MI
- Zip : 48439-8065
- Phone : (810) 606-7392
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 5101021831 | MI |
National Provider Identifier
| NPI | 1023498458 |
|---|---|
| Provider Name | Jordan Spencer Mccoy |
| First Address | Grand Blanc, MI 48439-9261 |
| Second Address | Grand Blanc, MI 48439-8065 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2015 |
| Last Update Date | 01/06/2015 |
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.