Cox, Katherine Dianne

Cox, Katherine Dianne is an sole proprietor health care provider with primary practice located at 1670 Battlefield Pkwy , Ft Oglethorpe GA 30742-4046. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cox, Katherine Dianne can be contacted via phone (706) 866-2111.

Contact Information

Primary practice address
1670 Battlefield Pkwy Ft Oglethorpe GA 30742-4046
Fax: (706) 866-5363
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1119T Georgia
Eye and Vision Services Providers / Optometrist 152W00000X 920T Tennessee

Profile Details

NPI number 1760523948
LBN Legal business name Cox, Katherine Dianne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Jul 8th, 2007 - about 17 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 1760523948 NPPES
Georgia Other 0116122 BLUECROSSBLUESHIELD
Georgia Other 0845880002 BLUECROSSBLUESHIELD
Georgia MEDICAID 004463555A BLUECROSSBLUESHIELD

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