Provider Demographics
NPI:1982696399
Name:AUSTIN-COX, LINDA DEE (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:DEE
Last Name:AUSTIN-COX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1598
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-1598
Mailing Address - Country:US
Mailing Address - Phone:910-893-8000
Mailing Address - Fax:910-893-4115
Practice Address - Street 1:133 W CORNELIUS HARNETT BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-7854
Practice Address - Country:US
Practice Address - Phone:910-893-8000
Practice Address - Fax:910-893-4115
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200001224751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8908205Medicaid
NC2446244Medicare ID - Type Unspecified
NC8908205Medicaid