Healthcare Provider Details

I. General information

NPI: 1235626789
Provider Name (Legal Business Name): AMY N COX DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY TRANG DO

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 09/29/2021
Certification Date: 09/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N ELM ST
GREENSBORO NC
27401-1004
US

IV. Provider business mailing address

1121 NORTH CHURCH STREET
GREENSBORO NC
27401
US

V. Phone/Fax

Practice location:
  • Phone: 336-832-7000
  • Fax:
Mailing address:
  • Phone: 336-832-4380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2021-01951
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: