Provider Demographics
NPI:1790461044
Name:COX, MISSY MALEIGH (NP)
Entity Type:Individual
Prefix:
First Name:MISSY
Middle Name:MALEIGH
Last Name:COX
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MISSY
Other - Middle Name:MALEIGH
Other - Last Name:INLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:COLQUITT
Mailing Address - State:GA
Mailing Address - Zip Code:39837-0007
Mailing Address - Country:US
Mailing Address - Phone:229-758-4960
Mailing Address - Fax:229-758-4961
Practice Address - Street 1:209 N CUTHBERT ST
Practice Address - Street 2:
Practice Address - City:COLQUITT
Practice Address - State:GA
Practice Address - Zip Code:39837-3518
Practice Address - Country:US
Practice Address - Phone:229-758-4960
Practice Address - Fax:229-758-4961
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN247796363LF0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA051509032OtherDRIVERS LICENSE