Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 5521 | SC |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 5521 | SC |
NPI | 1205864261 |
---|---|
Provider Name | Joel Robert Cox JR. |
First Address | North Charleston, SC 29406-9171 |
Second Address | North Charleston, SC 29406-9171 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 12/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
055219 | (05) | SC |
1225006760 | GROUP NPI (01) | SC |
1326287434 | MEDICAID DME NPI (01) | SC |
200025994 | RRMCARE NUMBER (01) | SC |
20076508 | SELECT HEALTH DME (01) | SC |
570634057 | TAX ID (01) | SC |
620405 | SELECT HLTH NUMBER (01) | SC |
C60529 | (02) | SC |
D043 | ARCIS HEALTHCARE GROUP MEDICARE PTAN (01) | SC |
DU4331 | ARCIS HEALTHCARE GROUP RAILROAD MEDICARE PTAN (01) | SC |
GP6337 | ARCIS HEALTHCARE GROUP MEDICIAD PTAN # (01) | SC |
P01337425 | RAILROAD MEDICARE PTAN (01) | SC |