Provider Demographics
NPI:1932726833
Name:COY, BRITTANY MACKEY (AUD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:MACKEY
Last Name:COY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ALICIA
Other - Last Name:MACKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:624 N FAIRVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HARLEM
Mailing Address - State:GA
Mailing Address - Zip Code:30814-5012
Mailing Address - Country:US
Mailing Address - Phone:864-561-4609
Mailing Address - Fax:
Practice Address - Street 1:950 15TH ST # 126D
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2608
Practice Address - Country:US
Practice Address - Phone:864-561-4609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD004230231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist