Basic Information
Provider Information
NPI: 1740516863
EntityType: 2
ReplacementNPI:  
OrganizationName: COX FAMILY PRACTICE, P.C.
LastName:  
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Mailing Information
Address1: PO BOX 4066
Address2:  
City: ASHEBORO
State: NC
PostalCode: 272044066
CountryCode: US
TelephoneNumber: 3366296500
FaxNumber: 3366296900
Practice Location
Address1: 350 N COX ST
Address2: SUITE 27
City: ASHEBORO
State: NC
PostalCode: 27203
CountryCode: US
TelephoneNumber: 3366296500
FaxNumber: 3366296900
Other Information
ProviderEnumerationDate: 10/23/2009
LastUpdateDate: 06/13/2018
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: COX
AuthorizedOfficialFirstName: KIRSTEN
AuthorizedOfficialMiddleName: S
AuthorizedOfficialTitleorPosition: PRESIDENT/OWNER
AuthorizedOfficialTelephone: 3366296500
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X200200287NCY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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