Provider Demographics
NPI:1205997624
Name:COX, JON P (DO)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:P
Last Name:COX
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Gender:M
Credentials:DO
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Mailing Address - Street 1:6325 SHANNON PKWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:UNION CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30291-1538
Mailing Address - Country:US
Mailing Address - Phone:770-964-1400
Mailing Address - Fax:678-815-1248
Practice Address - Street 1:6325 SHANNON PKWY
Practice Address - Street 2:SUITE D
Practice Address - City:UNION CITY
Practice Address - State:GA
Practice Address - Zip Code:30291-1538
Practice Address - Country:US
Practice Address - Phone:770-964-1400
Practice Address - Fax:678-815-1248
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA024221207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D45142Medicare UPIN