Healthcare Provider Details

I. General information

NPI: 1124499371
Provider Name (Legal Business Name): GRETA BOWICK COX RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2015
Last Update Date: 10/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 BELLE OAKS DR STE 280
NORTH CHARLESTON SC
29405-8504
US

IV. Provider business mailing address

4401 BELLE OAKS DR STE 280
NORTH CHARLESTON SC
29405-8504
US

V. Phone/Fax

Practice location:
  • Phone: 843-571-2700
  • Fax: 877-571-2124
Mailing address:
  • Phone: 843-571-2700
  • Fax: 877-571-2124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number2029
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: