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NPI Code Detail

MEDICARE: MS. AMANDA J. COX MPAS PA-C

MEDICARE: MS. AMANDA J. COX MPAS PA-C
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
1363A00000XPhysician Assistant01084WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11062799OTHERWVNCC PA
201084OTHERWVPA NUMBER

General Provider Information

NPI Number : 1639118557
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMANDA J. COX MPAS PA-C
Provider Business Mailing Address
First Line : 3306 VAIR AVE
Second Line :
City : PARKERSBURG
State : WV
Zip : 26104-2610
Country : US
Telephone Number : 304-771-0384
Fax Number :
Provider Business Practice Location Address
First Line : 2121 7TH ST
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-3803
Country : US
Telephone Number : 304-485-1721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 06/16/2023

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