Provider Demographics
NPI:1881856474
Name:COX, JERIS MCKENZIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JERIS
Middle Name:MCKENZIE
Last Name:COX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 HOSPITAL DR UNIT 300
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-1901
Mailing Address - Country:US
Mailing Address - Phone:843-990-4500
Mailing Address - Fax:843-990-4107
Practice Address - Street 1:1280 HOSPITAL DR UNIT 300
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-1901
Practice Address - Country:US
Practice Address - Phone:843-990-4500
Practice Address - Fax:843-990-4107
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC87388207VE0102X
SC83788207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC837884Medicaid