Individual
DR. ROBERT COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2538
(601) 815-1854
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2538
(601) 815-1854
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14760
MS
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
14760
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116162
—
MS
05
—
108039
—
AL
01
—
512G700003
MS MEDICARE - GROUP
MS
01
—
930044338
RAILROAD MEDICARE
MS
01
—
P00628031
MEDICARE RR PTAN#
MS
Enumeration date
07/12/2006
Last updated
07/12/2017
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