Susan Fowler Mccoy in Logan - General Practice

Susan Fowler Mccoy - NPI 1740325489

Susan Fowler Mccoy is a General Practice in Logan, . Susan Fowler Mccoy practices all healthcare services and medical treatments related to General Practice. The NPI Number for Susan Fowler Mccoy is 1740325489. The last update date is 2007-07-08.

Susan Fowler Mccoy's current location address is 127 Prosperity Lane, Logan, . You can contact this provider via phone number 3047524801 and fax number 3047524825. The mailing address for Susan Fowler Mccoy is 127 Prosperity Lane, Logan, . To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Fowler Mccoy
Address 127 Prosperity Lane, Logan,
Phone Number 3047524801
Fax Number 3047524825
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1740325489
Provider Enumeration Date 2007-02-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 127 Prosperity Lane
City Logan
State (WV)
Post Code 25601
Phone Number 3047524801
Fax Number 3047524825

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No WV3211
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
134310000 WV --

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FAQs about Susan Fowler Mccoy

What is the Susan Fowler Mccoy's 1740325489?

The Susan Fowler Mccoy's NPI (National Provider Identifier) Number is 1740325489. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Susan Fowler Mccoy located?

The Susan Fowler Mccoy is located at 127 Prosperity Lane, Logan, WV 25601.

What is Susan Fowler Mccoy's specialized field of practice, and what is the corresponding taxonomy classification code?

The Susan Fowler Mccoy's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

When did Susan Fowler Mccoy receive its 1740325489 assignment?

The Susan Fowler Mccoy was assigned its 1740325489 on 2007-02-20, which is the date when this unique identifier was issued to the organization.

When was the Susan Fowler Mccoy's information last updated?

The Susan Fowler Mccoy's information was last updated on 2007-07-08.

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