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Individual

DR. WALTER GREGORY COX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2130 SW JEFFERSON ST, PORTLAND, OR 97201-7709
(770) 363-6378
(912) 264-1096
Mailing address
2923 PLAYER ST, BRUNSWICK, GA 31520-4950
(770) 363-6378
(912) 264-1096

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1362
PSYCHOLOGY
GA
05
328437173B
GA
Enumeration date
03/29/2007
Last updated
12/07/2022
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