Individual
BRENDA COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6786
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 401-8200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN175550
GA
163WL0100X
Lactation Consultant (Registered Nurse)
ALPP 224299
FL
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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