Provider Demographics
NPI:1497121131
Name:COX, JONI
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7264 THOMPSON POND RD
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30470-1924
Mailing Address - Country:US
Mailing Address - Phone:912-293-7949
Mailing Address - Fax:
Practice Address - Street 1:7264 THOMPSON POND RD
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:GA
Practice Address - Zip Code:30470-1924
Practice Address - Country:US
Practice Address - Phone:912-293-7949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP008617235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist