# USAF

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427041441
- **Authorized official:** WAYNE SHERIDAN COX PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (210) 393-2465

## Contact information

- **Practice address:** BLD 760 MAXWELL AFB CLINIC, MONTGOMERY, AL 36117
- **Practice address phone:** (334) 953-1126
- **Mailing address:** 728 SUMMER LN, PRATTVILLE, AL 36066-6161
- **Mailing address phone:** (210) 393-2465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | 1068201 | AL | Yes |

## Other

- **Enumeration date:** 08/24/2005
- **Last updated:** 08/22/2020