Provider Demographics
NPI:1528531266
Name:MCCOY, MELINDA (DEM)
Entity type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:
Last Name:MCCOY
Suffix:
Gender:F
Credentials:DEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13245 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45327-9791
Mailing Address - Country:US
Mailing Address - Phone:937-974-0964
Mailing Address - Fax:
Practice Address - Street 1:13245 OXFORD RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:OH
Practice Address - Zip Code:45327-9791
Practice Address - Country:US
Practice Address - Phone:937-974-0964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-05
Last Update Date:2019-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay