Organization
SAM J COX III MD 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY DEPP (PAYER RELATIONS LIAISON)
(770) 579-2626
Entity
Organization
Contact information
Practice address
315 S WALNUT BEND RD, CORDOVA, TN 38018-1508
(404) 943-0205
(901) 755-8366
Mailing address
PO BOX 468329, ATLANTA, GA 31146-8329
(404) 943-0205
(404) 943-0209
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
07/15/2019
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