Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 35067151 | OH |
NPI | 1154324895 |
---|---|
Provider Name | Dr. Hector A Dox |
First Address | Atlanta, GA 30384-5800 |
Second Address | Columbus, MS 39705-2006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2005 |
Last Update Date | 21/10/2016 |