Provider Demographics
NPI:1912535691
Name:COXE, JAMES SHERWOOD IV
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:SHERWOOD
Last Name:COXE
Suffix:IV
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 FAIRFAX AVE APT H
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-2062
Mailing Address - Country:US
Mailing Address - Phone:919-612-6886
Mailing Address - Fax:
Practice Address - Street 1:231 ALBERT SABIN WAY # 6504
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267-2827
Practice Address - Country:US
Practice Address - Phone:513-558-4198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program