Provider Demographics
NPI:1902800949
Name:COX, STEPHEN H (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:H
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1125 CARTHAGE ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-4162
Mailing Address - Country:US
Mailing Address - Phone:919-774-6023
Mailing Address - Fax:919-776-6359
Practice Address - Street 1:101 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:BROADWAY
Practice Address - State:NC
Practice Address - Zip Code:27505
Practice Address - Country:US
Practice Address - Phone:919-258-6521
Practice Address - Fax:919-258-6693
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2010-06-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC28163207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC24916OtherBLUE CROSS BLUE SHIELD
NC8924965Medicaid
NC22494OtherMEDCOST
NC270329OtherMAMSI
NC0138852OtherUNITED HEALTHCARE
NC080104308OtherRR MEDICARE
NC3915OtherPARTNERS
NC080104308OtherRR MEDICARE
NC3915OtherPARTNERS