Provider Demographics
NPI:1801662630
Name:DE OLIVEIRA COX, BRUNA X (MD)
Entity type:Individual
Prefix:
First Name:BRUNA
Middle Name:
Last Name:DE OLIVEIRA COX
Suffix:X
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 1:300 PALMETTO PARK BLVD APT 1307
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7881
Mailing Address - Country:US
Mailing Address - Phone:843-624-1494
Mailing Address - Fax:
Practice Address - Street 1:135 RUTLEDGE AVE FL 12
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-1904
Practice Address - Country:US
Practice Address - Phone:843-792-4542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-01
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program