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NPI Code Detail

MEDICARE: RILEY COX

MEDICARE: RILEY COX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer1518SC

General Provider Information

NPI Number : 1063864650
Entity Type Code : Individual
Provider Name (Legal Business Name) : RILEY COX
Provider Business Mailing Address
First Line : 429 N CHURCH ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-3612
Country : US
Telephone Number : 864-597-4458
Fax Number :
Provider Business Practice Location Address
First Line : 429 N CHURCH ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-3612
Country : US
Telephone Number : 864-597-4458
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2016
Last Update Date : 07/07/2016

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Directions to “ RILEY COX ” Practice Location

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