Provider Demographics
NPI:1104926963
Name:COX, BRUCE KEVEN (PA-C)
Entity type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:KEVEN
Last Name:COX
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:MARTIN ARMY COMMUNITY HOSPITAL
Mailing Address - Street 2:6600 VAN AALST BLVD
Mailing Address - City:FT MOORE
Mailing Address - State:GA
Mailing Address - Zip Code:31905
Mailing Address - Country:US
Mailing Address - Phone:706-544-5014
Mailing Address - Fax:
Practice Address - Street 1:MARTIN ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:BUILDING 9200
Practice Address - City:FT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905
Practice Address - Country:US
Practice Address - Phone:706-544-3912
Practice Address - Fax:706-544-2790
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2023-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA003199363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical