Individual
CHARLES BRAD COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4700 WATERS AVE STE 403, SAVANNAH, GA 31404-6220
(912) 273-1150
(912) 273-2811
Mailing address
4700 WATERS AVE STE 403, SAVANNAH, GA 31404-6220
(912) 273-1150
(912) 273-2811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
008992
GA
363AS0400X
Surgical Physician Assistant
Primary
008992
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3665971
—
TN
01
—
4035524
BCBSTN
TN
Enumeration date
10/11/2006
Last updated
02/09/2022
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