Individual
KATHERINE DIANNE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1670 BATTLEFIELD PKWY, FT OGLETHORPE, GA 30742-4046
(706) 866-2111
(706) 866-5363
Mailing address
1670 BATTLEFIELD PKWY, FT OGLETHORPE, GA 30742-4046
(706) 866-2111
(706) 866-5363
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1119T
GA
152W00000X
Optometrist
920T
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004463555A
—
GA
01
—
0116122
BLUECROSSBLUESHIELD
GA
01
—
0845880002
DMERC
GA
Enumeration date
02/09/2007
Last updated
07/08/2007
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