Carter, Thaddeus Cox
Carter, Thaddeus Cox is an individual health care provider with primary practice located at 1340 Broad Ave Suite 210, Gulfport MS 39501-2418. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Carter, Thaddeus Cox can be contacted via phone (228) 863-4490.Contact Information
Primary practice address
1340 Broad Ave Suite 210
Gulfport MS 39501-2418
Phone: (228) 863-4490
Fax: (228) 863-7238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 08995 | Mississippi |
Profile Details
| NPI number | 1649278573 |
|---|---|
| LBN Legal business name | Carter, Thaddeus Cox |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Jul 10th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649278573 | NPPES |
| Mississippi | MEDICAID | 00019775 |
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