Provider Demographics
NPI:1083800973
Name:COX, BETTY J (RN)
Entity Type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:J
Last Name:COX
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 GLEN PARK DR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-3692
Mailing Address - Country:US
Mailing Address - Phone:678-895-4478
Mailing Address - Fax:770-323-7996
Practice Address - Street 1:3901 GLEN PARK DR
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-3692
Practice Address - Country:US
Practice Address - Phone:678-895-4478
Practice Address - Fax:770-323-7996
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN047814171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator