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Physician Compare National (NPI:1669935474)

HEALTHCARE PROVIDER: LINDSAY COX

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1669935474
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4183951544
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20190807002435
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name COX
Individual professional last name
Provider First Name LINDSAY
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 2019
Individual professional's medical school graduation year
Primary Specialty PHYSICAL THERAPY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name AGILITAS USA INC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 3375454648
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 430
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2312 KNOB CREEK RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 200
Group Practice or individual's line 2 address
City JOHNSON CITY
Group Practice or individual's city
State TN
Group Practice or individual's state
Zip Code 376042367
Group Practice or individual's zip code (9 digits when available)
Phone Number 4234309004
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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