Provider Demographics
NPI:1649763632
Name:COX, MARY ELIZABETH (DO)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ELIZABETH
Last Name:COX
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:301 MCCULLOUGH DR STE 400
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-1336
Mailing Address - Country:US
Mailing Address - Phone:844-644-4325
Mailing Address - Fax:424-625-0010
Practice Address - Street 1:301 MCCULLOUGH DR STE 400
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-1336
Practice Address - Country:US
Practice Address - Phone:844-644-4325
Practice Address - Fax:424-625-0010
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2022-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2020-04681207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine