Provider Demographics
NPI:1013951078
Name:COX, TED RUSSELL (MD)
Entity Type:Individual
Prefix:DR
First Name:TED
Middle Name:RUSSELL
Last Name:COX
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:191 CARAWAY DR
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:WINFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35594-5067
Mailing Address - Country:US
Mailing Address - Phone:205-487-1203
Mailing Address - Fax:205-487-1205
Practice Address - Street 1:191 CARAWAY DR
Practice Address - Street 2:SUITE A-1
Practice Address - City:WINFIELD
Practice Address - State:AL
Practice Address - Zip Code:35594-5067
Practice Address - Country:US
Practice Address - Phone:205-487-1203
Practice Address - Fax:205-487-1205
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AL12079207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC74689Medicare UPIN