Individual
LARRY COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 S. GALLATIN PIKE, MADISON, TN 37115
(615) 460-4300
Mailing address
3621 CANBERRA WAY, MOUNT JULIET, TN 37122-7554
(615) 957-6360
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3397960
—
TN
Enumeration date
09/01/2016
Last updated
09/01/2016
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