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Individual

DR. MARY ANN COX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
21 HIGHLAND AVE SE, STE 100, ROANOKE, VA 24013-2218
(540) 344-9213
(540) 345-7559
Mailing address
21 HIGHLAND AVE SE, STE 100, ROANOKE, VA 24013-2218
(540) 344-9213
(540) 345-7559

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101235057
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010022916
VA
01
080228419
SOUTHERN HEALTH
VA
01
2166024
MAMSI
VA
01
268898
ANTHEM
VA
01
54088505616
JOHN DEERE
VA
01
6421077
CIGNA
VA
01
7062419
AETNA
VA
Enumeration date
06/09/2005
Last updated
07/24/2012
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