Individual
MR. JASON LEE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4300 W MAIN ST STE 21, DOTHAN, AL 36305-1058
(334) 699-7900
Mailing address
PO BOX 6599, DOTHAN, AL 36302-6599
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
1-111030
AL
163WR0006X
Registered Nurse First Assistant
RN9359978
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
1-111030
AL
Other
Enumeration date
01/20/2012
Last updated
03/04/2021
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