Individual provider · Type 1 NPI
Deshantra McCoy
Prosthetics Case Management · Pine Bluff, AR
NPI number
1730620600
Active
Practice location
1401 W 6th Ave
Pine Bluff, AR 71601-3931
Mailing address
6720 Dollarway Rd Apt 22
Pine Bluff, AR 71602-3459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | 143286 (AR) |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
Other prosthetics case management providers in Pine Bluff
About NPI 1730620600
Deshantra McCoy's National Provider Identifier is 1730620600, issued on Mar 13, 2017. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Pine Bluff, AR. The record was last updated on Mar 13, 2017.