Organization
SOUTHSIDE SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL E COX OD (OWNER)
(423) 929-2020
Entity
Organization
Contact information
Practice address
2306 KNOB CREEK RD, JOHNSON CITY, TN 37604-2366
(423) 943-3079
Mailing address
2306 KNOB CREEK RD, JOHNSON CITY, TN 37604-2366
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1349
NC
Other
Enumeration date
04/02/2008
Last updated
11/05/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up