Provider Demographics
NPI:1508470972
Name:COX, TONIA SUE
Entity Type:Individual
Prefix:
First Name:TONIA
Middle Name:SUE
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 1:25503 OLDTOWN RD SE
Mailing Address - Street 2:
Mailing Address - City:OLDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21555-2020
Mailing Address - Country:US
Mailing Address - Phone:304-359-5197
Mailing Address - Fax:
Practice Address - Street 1:25503 OLDTOWN RD SE
Practice Address - Street 2:
Practice Address - City:OLDTOWN
Practice Address - State:MD
Practice Address - Zip Code:21555-2020
Practice Address - Country:US
Practice Address - Phone:304-359-5197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant