Mccoy, Bruce Phillip

Mccoy, Bruce Phillip is an individual health care provider with primary practice located at 526 North Elam Avenue Suite 201, Greensboro NC 27403-1132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mccoy, Bruce Phillip can be contacted via phone (336) 855-6131.

Contact Information

Primary practice address
526 North Elam Avenue Suite 201 Greensboro NC 27403-1132
Phone: (336) 855-6131
Fax: (336) 855-6132
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 24271 North Carolina
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 24271 North Carolina

Profile Details

NPI number 1750439188
LBN Legal business name Mccoy, Bruce Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 16th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750439188 NPPES
North Carolina Other 7393398 AETNA
North Carolina Other 4431617002 AETNA
North Carolina Other 55821 AETNA
North Carolina MEDICAID 8955821 AETNA

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