MEDICARE: DR. DAVID B COX M.D.

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
1	207Q00000X	Family Medicine Physician	01010-33199	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10382343	OTHER		CAQH

General Provider Information

NPI Number	:	1174518047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID B COX M.D.

Provider Business Mailing Address
First Line	:	501 N MAIN ST
Second Line	:
City	:	GORDONSVILLE
State	:	VA
Zip	:	22942-9137
Country	:	US
Telephone Number	:	540-832-2211
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 N MAIN ST
Second Line	:
City	:	GORDONSVILLE
State	:	VA
Zip	:	22942-9137
Country	:	US
Telephone Number	:	540-832-2211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	07/08/2007

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