Provider Demographics
NPI:1851363329
Name:COX, JOHN WARREN (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:WARREN
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-9319
Mailing Address - Country:US
Mailing Address - Phone:662-524-4386
Mailing Address - Fax:662-391-2947
Practice Address - Street 1:830 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773-9319
Practice Address - Country:US
Practice Address - Phone:662-524-4386
Practice Address - Fax:662-391-2947
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS08934207R00000X, 207RH0005X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0005XAllopathic & Osteopathic PhysiciansInternal MedicineHypertension Specialist
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00017965Medicaid
MS110001132Medicare PIN
MS00017965Medicaid
MS00017965Medicaid