Provider Demographics
NPI:1770704462
Name:MCCLOY, JAY M (ATC)
Entity type:Individual
Prefix:MR
First Name:JAY
Middle Name:M
Last Name:MCCLOY
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Gender:M
Credentials:ATC
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Mailing Address - Street 1:UNIVERSITY OF NORTH CAROLINA AT GREENSBORO
Mailing Address - Street 2:PO BOX 26168
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27402
Mailing Address - Country:US
Mailing Address - Phone:336-334-5925
Mailing Address - Fax:336-256-0407
Practice Address - Street 1:1408 WALKER AVE
Practice Address - Street 2:136 COLEMAN BUILDING
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27412-5020
Practice Address - Country:US
Practice Address - Phone:336-334-5925
Practice Address - Fax:336-256-0407
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2016-10-15
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Provider Licenses
StateLicense IDTaxonomies
NC16332255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer