Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 2005-1297 | NC |
Y | 207Q00000X | Family Doctor | 2005-1297 | NC |
N | 207RA0201X | Internist - Allergy & Immunology | 20051297 | NC |
NPI | 1184667883 |
---|---|
Provider Name | Dr. James Bryan Cox |
First Address | Rutherford College, NC 28671 |
Second Address | Rutherford College, NC 28671-2867 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 14/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5903130 | (05) | NC |
BC8540381 | DEA (01) | NC |
I47752 | (02) | NC |