Individual
CHARLES BOGGESS COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
503 W MADISON AVE, ATHENS, TN 37303-3489
(423) 745-2312
(423) 746-0687
Mailing address
503 W MADISON AVE, ATHENS, TN 37303-3489
(423) 745-2312
(423) 746-0687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18827
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
18827
TN
208600000X
Surgery Physician
18827
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3033811
—
TN
05
—
3384691
—
TN
01
—
79908
BCBS-TN
TN
05
—
Q031940
—
TN
Enumeration date
01/20/2006
Last updated
05/27/2024
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