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General NPI Number Information
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NPI Number | 1366655490
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Entity Type | Organization
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Legal Business Name | CHARLES B COX MDPC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 503 W MADISON AVE
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City | ATHENS
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State | TN
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Zip | 37303-3489
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Country | US
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Telephone | 423-745-2312
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Fax | 423-746-0687
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Provider Business Mailing Address
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Address Line | 503 W MADISON AVE
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City | ATHENS
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State | TN
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Zip | 37303-3489
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Country | US
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Telephone | 423-745-2312
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Fax | 423-746-0687
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. CHARLES B COX
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Credential |
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Telephone | 423-745-2312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD0000018827
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License Number State | TN
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