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1306167556
JENNIFER WALLACE MCCOY
AUGUSTA, GA
NPI
1306167556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 4232)
Enumeration Date
2010-06-22
Last Update Date
2010-06-22
Business Address
Mrs. JENNIFER WALLACE MCCOY M.D.
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-9442
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Mailing Address
Mrs. JENNIFER WALLACE MCCOY M.D.
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-9442
Copy
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