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KATHERINE DIANNE COX O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1760523948

Individual Registrant:
 KATHERINE DIANNE COX O.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
1670 BATTLEFIELD PKWY  FT OGLETHORPE, GA 30742-4046 US
Tel: 706-866-2111  Fax: 706-866-5363

Contact information for business:
1670 BATTLEFIELD PKWY  FT OGLETHORPE, GA 30742-4046 US
Tel: 706-866-2111  Fax: 706-866-5363

Registration Information:
NPI: 1760523948
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
GA1119T
N152W00000XEye and Vision Services Providers
Optometrist
TN920T

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DMERC0845880002GA01
004463555AGA05
BLUECROSSBLUESHIELD0116122GA01




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