Provider Demographics
NPI:1679847511
Name:COX RICE, EDNA (RDN, CSG, LDN)
Entity Type:Individual
Prefix:MRS
First Name:EDNA
Middle Name:
Last Name:COX RICE
Suffix:
Gender:F
Credentials:RDN, CSG, LDN
Other - Prefix:MRS
Other - First Name:EDNA
Other - Middle Name:
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:407 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072
Mailing Address - Country:US
Mailing Address - Phone:803-996-0312
Mailing Address - Fax:803-957-2496
Practice Address - Street 1:407 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072
Practice Address - Country:US
Practice Address - Phone:803-996-0312
Practice Address - Fax:803-957-2496
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-23
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133N00000X, 133NN1002X, 133VN1005X, 133V00000X
SC147133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal