Individual
MRS. BETHANY SUE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2828 1ST AVE STE 400, HUNTINGTON, WV 25702-1236
(045) 256-9053
(304) 525-0747
Mailing address
PO BOX 4100, BARBOURSVILLE, WV 25504-4100
(304) 399-4405
(304) 399-2526
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1073571
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073571
NCCPA CERTIFICATE #
WV
Enumeration date
10/10/2006
Last updated
12/05/2022
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