Provider Demographics
NPI:1316044308
Name:COX, CHAD EVERETT (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:EVERETT
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10542 ARNOLD PALMER DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-7775
Mailing Address - Country:US
Mailing Address - Phone:661-210-5706
Mailing Address - Fax:
Practice Address - Street 1:7750 MCCRIMMON PKWY STE 100
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-1912
Practice Address - Country:US
Practice Address - Phone:919-234-1577
Practice Address - Fax:919-234-0569
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-02488207R00000X
CAA71059207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH65216Medicare UPIN