Individual
SYLVONNE KENYATTA COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1664 MULKEY RD, AUSTELL, GA 30106-1114
(770) 422-1372
Mailing address
1664 MULKEY RD, AUSTELL, GA 30106-1114
(770) 422-1372
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4564
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400763209A
—
GA
05
—
400763209B
—
GA
Enumeration date
12/05/2006
Last updated
08/27/2020
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