| Doctor Name: | MRS. JANE GRAY MCCOY |
| NPI Number: | 1770705303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 111546 |
| Business Practice Address: | 223 Charlie Taylor Road Hubert, NC - 28539 |
| Business Phone Number: | 9103265122 |
| Business Fax Number: | |
| Mailing Address: | 223 Charlie Taylor Road, HUBERT |
| State: | NC |
| Postal Code: | 28539 |
| Phone Number: | 9103265122 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | 111546 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |