1386773141 NPI number — MS. NATASHA PAGE COX CERTIFIED ADDICTIONS

Table of content: MS. NATASHA PAGE COX CERTIFIED ADDICTIONS (NPI 1386773141)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386773141 NPI number — MS. NATASHA PAGE COX CERTIFIED ADDICTIONS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COX
Provider First Name:
NATASHA
Provider Middle Name:
PAGE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CERTIFIED ADDICTIONS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PAGE
Provider Other First Name:
NATASHA
Provider Other Middle Name:
CHERELLE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CERTIFIED ADDICTIONS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1386773141
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/01/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1430 S CASHUA DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLORENCE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29501-6323
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-673-0660
Provider Business Mailing Address Fax Number:
843-669-6122

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 GREGG AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLORENCE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29502-6196
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-665-9349
Provider Business Practice Location Address Fax Number:
843-669-6122
Provider Enumeration Date:
03/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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