Provider Demographics
NPI:1952589897
Name:COX, DEITRICK L (MD)
Entity type:Individual
Prefix:
First Name:DEITRICK
Middle Name:L
Last Name:COX
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3245 NORTH POINT PARKWAY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4719
Mailing Address - Country:US
Mailing Address - Phone:404-239-3968
Mailing Address - Fax:470-709-4574
Practice Address - Street 1:3245 NORTH POINT PARKWAY
Practice Address - Street 2:SUITE 202
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4719
Practice Address - Country:US
Practice Address - Phone:404-239-3968
Practice Address - Fax:470-709-4574
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2024-06-24
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Provider Licenses
StateLicense IDTaxonomies
GA65394208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation