Provider Demographics
NPI:1033250535
Name:MCCOY, LARRY JR (DC)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:
Last Name:MCCOY
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 THOMPSON LN STE 102
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-2468
Mailing Address - Country:US
Mailing Address - Phone:615-739-5047
Mailing Address - Fax:615-739-5057
Practice Address - Street 1:176 THOMPSON LN
Practice Address - Street 2:SUITE 201
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-2448
Practice Address - Country:US
Practice Address - Phone:615-739-5047
Practice Address - Fax:615-739-5057
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC1984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor