Provider Demographics
NPI:1225065642
Name:COX, LARRY H (MD)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:H
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:105 W STONE DR
Mailing Address - Street 2:SUITE 6A
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-3365
Mailing Address - Country:US
Mailing Address - Phone:423-408-7220
Mailing Address - Fax:423-408-7405
Practice Address - Street 1:616 CAMPUS DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-0000
Practice Address - Country:US
Practice Address - Phone:276-739-0067
Practice Address - Fax:276-739-0069
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN12378207RC0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY060013321Medicaid
TN621112685OtherUNITED HEALTH CARE
TN3179660Medicaid
VA6090192Medicare ID - Type UnspecifiedFIRST HEALTH
TN3179662Medicare ID - Type UnspecifiedCIGNA
KY060013321Medicaid