MEDICARE: DR. FLORA DENISE 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	2084P0800X	Psychiatry Physician	033059	GA

General Provider Information

NPI Number	:	1942357058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FLORA DENISE COX M.D.

Provider Business Mailing Address
First Line	:	2336 WISTERIA DR STE 410
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-6160
Country	:	US
Telephone Number	:	770-979-0074
Fax Number	:	770-979-8305

Provider Business Practice Location Address
First Line	:	2336 WISTERIA DR STE 410
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-6160
Country	:	US
Telephone Number	:	770-979-0074
Fax Number	:	770-979-8305

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

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	07/08/2007

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