Deshantra McCoy

Prosthetics Case Management · Pine Bluff, AR

Individual Active NPI

NPI number 1730620600

Practice location

1401 W 6TH Ave
Pine Bluff, AR 71601-3931
Phone
(870) 377-4095

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NPI record

NPI
1730620600
Entity type
Individual (Type 1)
Enumeration date
March 13, 2017
Last updated
March 13, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthetics Case Management Primary 1744P3200X 143286 AR

Mailing address

6720 Dollarway Rd Apt 22
Pine Bluff, AR 71602-3459
Phone
(870) 377-4095

About Deshantra McCoy

Deshantra McCoy is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthetics Case Management (code 1744P3200X). The practice location is 1401 W 6TH Ave, Pine Bluff, AR 71601-3931. The NPI number 1730620600 was assigned on March 13, 2017 and the record was last updated on March 13, 2017.

Deshantra McCoy lists a license in the registry: #143286 (AR) for Prosthetics Case Management. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Deshantra McCoy?

The NPI number is 1730620600.

What is the phone number of Deshantra McCoy?

The phone number listed for the practice location is (870) 377-4095.

Where is Deshantra McCoy located?

1401 W 6TH Ave, Pine Bluff, AR 71601-3931.

What is the taxonomy code for Deshantra McCoy?

The primary taxonomy code is 1744P3200X – Prosthetics Case Management.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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