MEDICARE: PATRICIA ANN 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
1	183500000X	Pharmacist	014658	GA

General Provider Information

NPI Number	:	1184770968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANN COX

Provider Business Mailing Address
First Line	:	5755 STEPHENS RD
Second Line	:
City	:	FLOWERY BRANCH
State	:	GA
Zip	:	30542-2520
Country	:	US
Telephone Number	:	770-536-1099
Fax Number	:

Provider Business Practice Location Address
First Line	:	4222 MCEVER RD
Second Line	:
City	:	OAKWOOD
State	:	GA
Zip	:	30566-2237
Country	:	US
Telephone Number	:	770-536-1099
Fax Number	:

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	07/08/2007

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Directions to “ PATRICIA ANN COX ” Practice Location

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