Organization
USAF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE SHERIDAN COX PA-C (PHYSICIAN ASSISTANT)
(210) 393-2465
Entity
Organization
Contact information
Practice address
BLD 760 MAXWELL AFB CLINIC, MONTGOMERY, AL 36117
(334) 953-1126
Mailing address
728 SUMMER LN, PRATTVILLE, AL 36066-6161
(210) 393-2465
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
1068201
AL
Other
Enumeration date
08/24/2005
Last updated
08/22/2020
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