Provider Demographics
NPI:1639107402
Name:COX, JEFFREY (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:175 AMENDMENT AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3039
Mailing Address - Country:US
Mailing Address - Phone:803-327-5337
Mailing Address - Fax:803-366-1316
Practice Address - Street 1:175 AMENDMENT AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3039
Practice Address - Country:US
Practice Address - Phone:803-327-5337
Practice Address - Fax:803-366-1316
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC14438207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCE72597Medicare UPIN