Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician |
NPI | 1003011073 |
---|---|
Provider Name | Mr. Hobson Cox |
First Address | Union Springs, AL 36089-0834 |
Second Address | Union Springs, AL 36089-1417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 15/06/2016 |