Doctor Name: | TABITHA E COX |
NPI Number: | 1013240688 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 475 |
Business Practice Address: | 904 Harrison St Princeton, WV - 247403011 |
Business Phone Number: | 3044317100 |
Business Fax Number: | 3044317112 |
Mailing Address: | Po Box 1138, PRINCETON |
State: | WV |
Postal Code: | 247401138 |
Phone Number: | 3044317100 |
Fax Number: | 3044317112 |
NPI Enumeration Date: | 09/14/2009 |
NPI Last Update Date: | 12/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 475 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |