Cox Healthcare Clinic, Llc | |
365 W Reed Rd Ste C Greenville MS 38701-6967 | |
(662) 702-3944 | |
(662) 702-3945 |
Full Name | Cox Healthcare Clinic, Llc |
---|---|
Speciality | Clinic/Center |
Location | 365 W Reed Rd Ste C, Greenville, Mississippi |
Authorized Official Name and Position | Csqshundra D Cox (OWNER) |
Authorized Official Contact | 6626865017 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cox Healthcare Clinic, Llc 404 Huddleston St Leland MS 38756-2618 Ph: (662) 822-0310 | Cox Healthcare Clinic, Llc 365 W Reed Rd Ste C Greenville MS 38701-6967 Ph: (662) 702-3944 |
NPI Number | 1699233916 |
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Provider Enumeration Date | 03/05/2019 |
Last Update Date | 08/08/2024 |
Medicare PECOS PAC ID | 2668705526 |
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Medicare Enrollment ID | O20190607000574 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699233916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Csqshundra D Cox |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962984732 PECOS PAC ID: 2466706767 Enrollment ID: I20181126000538 |
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