| Sandra Gail Mccoy, RN | |
| 
					1754 Us Highway 23 North, Weber City, VA 24290-7071  | |
| (276) 386-5980 | |
| (276) 386-5995 | 
| Full Name | Sandra Gail Mccoy | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1754 Us Highway 23 North, Weber City, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073303525 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001301975 (Virginia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 0024193625 (Virginia) | Primary | 
| Entity Name | Holston Medical Group Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20040107000794  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sandra Gail Mccoy, RN Po Box 9, Kingsport, TN 37662-0009 Ph: (423) 857-2066  | Sandra Gail Mccoy, RN 1754 Us Highway 23 North, Weber City, VA 24290-7071 Ph: (276) 386-5980  | 
Kristen Woods, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1006 Us Highway 23 N, Weber City, VA 24290 Phone: 276-225-0976  | |
Ms. Kristie L Galloway, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1754 Us Highway 23 N, Weber City, VA 24290 Phone: 276-386-5980 Fax: 276-386-9387  | |
Lisa Marie Jessee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1754 Us Highway 23 N, Weber City, VA 24290 Phone: 276-386-5980 Fax: 276-386-9387  |