Provider Demographics
NPI:1235958703
Name:COX, GARY L
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:L
Last Name:COX
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 W ELLIOTT RD
Mailing Address - Street 2:
Mailing Address - City:RUSSELLS POINT
Mailing Address - State:OH
Mailing Address - Zip Code:43348-9599
Mailing Address - Country:US
Mailing Address - Phone:740-972-9252
Mailing Address - Fax:
Practice Address - Street 1:114 W ELLIOTT RD
Practice Address - Street 2:
Practice Address - City:RUSSELLS POINT
Practice Address - State:OH
Practice Address - Zip Code:43348-9599
Practice Address - Country:US
Practice Address - Phone:740-972-9252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide