Provider Demographics
NPI:1952976847
Name:COX, TRINA F (HIS)
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:F
Last Name:COX
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 GOLDENDALE CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-4876
Mailing Address - Country:US
Mailing Address - Phone:843-229-6212
Mailing Address - Fax:
Practice Address - Street 1:4318 E NORTH ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-2425
Practice Address - Country:US
Practice Address - Phone:864-655-8300
Practice Address - Fax:864-603-1555
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHAS-0668237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist