Provider Demographics
NPI:1831466242
Name:COX, SANDRA NANETTE (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:NANETTE
Last Name:COX
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GRAY FOX CT
Mailing Address - Street 2:
Mailing Address - City:CATAULA
Mailing Address - State:GA
Mailing Address - Zip Code:31804-4420
Mailing Address - Country:US
Mailing Address - Phone:706-577-5397
Mailing Address - Fax:
Practice Address - Street 1:14 GRAY FOX CT
Practice Address - Street 2:
Practice Address - City:CATAULA
Practice Address - State:GA
Practice Address - Zip Code:31804-4420
Practice Address - Country:US
Practice Address - Phone:706-577-5397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN056340163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn