Provider Demographics
NPI:1144580143
Name:COX, ELIZABETH QUATTLEBAUM (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:QUATTLEBAUM
Last Name:COX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1444 JEFFREYS RD # 6
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-1820
Mailing Address - Country:US
Mailing Address - Phone:919-443-9577
Mailing Address - Fax:984-205-8519
Practice Address - Street 1:1122 OBERLIN RD STE 212
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1549
Practice Address - Country:US
Practice Address - Phone:919-443-9577
Practice Address - Fax:984-205-8519
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC184046390200000X
NC2013-018702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program