Provider Demographics
NPI:1013275270
Name:MCCOSKEY, YOLANDIE (MD)
Entity type:Individual
Prefix:DR
First Name:YOLANDIE
Middle Name:
Last Name:MCCOSKEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:YOLANDIE
Other - Middle Name:
Other - Last Name:BECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3100 DICK POND ROAD
Mailing Address - Street 2:SUITE C-2
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588
Mailing Address - Country:US
Mailing Address - Phone:843-251-9500
Mailing Address - Fax:843-831-0021
Practice Address - Street 1:3100 DICK POND ROAD
Practice Address - Street 2:SUITE C-2
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588
Practice Address - Country:US
Practice Address - Phone:843-251-9500
Practice Address - Fax:843-831-0021
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-25
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA126677207Q00000X
SCMD87164207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine