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Contact Information

MARY J MCCOY
16 MILLS AVE
UNIT #5
GREENVILLE, SC29605-4070
 Phone: 864-232-9860
 Fax: 864-232-9860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy Technician

183700000X
 

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for MARY J MCCOY · (Female)

NPI # 1053394387
Status Active
Credentials
Entity Individual
Enumeration date 11/21/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 14420
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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