Mccoy, Inger Dalphine

Mccoy, Inger Dalphine is an individual health care provider with primary practice located at 6001 Professional Pkwy Ste 2080 , Douglasville GA 30134-5632. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mccoy, Inger Dalphine can be contacted via phone (678) 715-5080.

Contact Information

Primary practice address
6001 Professional Pkwy Ste 2080 Douglasville GA 30134-5632
Fax: (770) 528-9938
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN140322 Georgia

Profile Details

NPI number 1881768455
LBN Legal business name Mccoy, Inger Dalphine
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Mar 28th, 2018 - about 6 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 1881768455 NPPES
Georgia MEDICAID 003108313C
Georgia MEDICAID 003108313A
Georgia MEDICAID 003108313B

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