Individual
JUSTIN TAYLOR COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
971 LAKELAND DR STE 1460, JACKSON, MS 39216-4684
(601) 291-3318
Mailing address
971 LAKELAND DR STE 1460, JACKSON, MS 39216-4684
(601) 291-3318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00621
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C00488
GENERAL SURGERY
MS
Enumeration date
04/28/2021
Last updated
11/29/2021
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