Cox, George Douglas

Cox, George Douglas is an sole proprietor health care provider with primary practice located at 6710 Avens Ln , Tallassee TN 37878-2383. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Health Service is his primary health care specialty. Cox, George Douglas can be contacted via phone (865) 386-6392.

Contact Information

Primary practice address
6710 Avens Ln Tallassee TN 37878-2383
Phone: (865) 386-6392
Fax: (888) 484-0155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 894 Tennessee
Behavioral Health & Social Service Providers / Health Service 103TH0100X P0000000894 Tennessee

Profile Details

NPI number 1649361957
LBN Legal business name Cox, George Douglas
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Apr 28th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649361957 NPPES
Tennessee MEDICAID 3983065

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