Individual
FRED GREGORY COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 BROADWAY ST, SOUTH FULTON, TN 38257-2835
(731) 479-2606
(731) 479-2610
Mailing address
1135 BROADWAY ST, SOUTH FULTON, TN 38257-2835
(731) 479-2606
(731) 479-2610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34657
KY
207R00000X
Internal Medicine Physician
Primary
41561
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I118585
MEDICARE B-TN
TN
05
—
4045889
—
TN
05
—
6402855
—
KY
Enumeration date
07/28/2006
Last updated
09/06/2016
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