Provider Demographics
NPI:1063869253
Name:MCCOY, CHELSEA ANTHONY (DO)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:ANTHONY
Last Name:MCCOY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:E
Other - Last Name:ANTHONY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2033 MEDICAL PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-2249
Mailing Address - Country:US
Mailing Address - Phone:803-276-5188
Mailing Address - Fax:803-276-9317
Practice Address - Street 1:2033 MEDICAL PARK DRIVE
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-2249
Practice Address - Country:US
Practice Address - Phone:803-276-5188
Practice Address - Fax:803-276-9317
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC82108208M00000X
SCMDO.82108DO207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist