Individual
DR. PHILLIP COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4619 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309-1319
(304) 400-4545
(304) 400-4546
Mailing address
4619 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309-1319
(304) 400-4545
(304) 400-4546
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2338
WV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2338
WV
207RP1001X
Pulmonary Disease Physician
2338
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810026348
—
WV
01
—
WV3298A
MEDICARE PTAN
WV
Enumeration date
08/29/2007
Last updated
11/20/2020
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