Provider Demographics
NPI:1275844847
Name:COX, STEPHEN MATTHEW (DO)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MATTHEW
Last Name:COX
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 OLD MILTON PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-2108
Mailing Address - Country:US
Mailing Address - Phone:470-267-0360
Mailing Address - Fax:770-999-2691
Practice Address - Street 1:2450 OLD MILTON PKWY STE 201
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-2108
Practice Address - Country:US
Practice Address - Phone:470-267-0360
Practice Address - Fax:770-999-2691
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA4325207Q00000X
GA066940207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003130479CMedicaid
GA003130479DMedicaid
GA003130479EMedicaid
GA003130479BMedicaid
GA003130479AMedicaid
GA003130479EMedicaid
GA202I089199Medicare PIN