MEDICARE: ERIN EILEEN COX D.O.

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	207RG0100X	Gastroenterology Physician		NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2402565B	OTHER	NC	CMC MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649298159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN EILEEN COX D.O.

Provider Business Mailing Address
First Line	:	300 BILLINGSLEY RD STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-1084
Country	:	US
Telephone Number	:	704-372-7974
Fax Number	:	704-372-8201

Provider Business Practice Location Address
First Line	:	300 BILLINGSLEY RD STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-1084
Country	:	US
Telephone Number	:	704-372-7974
Fax Number	:	704-372-8201

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	12/12/2007

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