Healthcare Provider Details

I. General information

NPI: 1588993653
Provider Name (Legal Business Name): COX SURGICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2009
Last Update Date: 12/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 CALHOUN ST
CHARLESTON SC
29401-1113
US

IV. Provider business mailing address

1 S PARK CIR SUITE 400
CHARLESTON SC
29407-4636
US

V. Phone/Fax

Practice location:
  • Phone: 843-724-2014
  • Fax:
Mailing address:
  • Phone: 843-789-1620
  • Fax: 843-724-2440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateSC

VIII. Authorized Official

Name: DR. STEVEN COX
Title or Position: MD
Credential:
Phone: 843-724-2014