Provider Demographics
NPI:1710724000
Name:COX, JUDY GENENE (ARNP FNP-BC)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:GENENE
Last Name:COX
Suffix:
Gender:F
Credentials:ARNP FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2690
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:GA
Mailing Address - Zip Code:31305-2690
Mailing Address - Country:US
Mailing Address - Phone:912-437-2442
Mailing Address - Fax:912-480-0669
Practice Address - Street 1:1135 NORTH WAY STE E
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:GA
Practice Address - Zip Code:31305-9182
Practice Address - Country:US
Practice Address - Phone:912-437-2442
Practice Address - Fax:912-480-0669
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN230949207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine