Provider Demographics
NPI:1386773141
Name:COX, NATASHA PAGE (CERTIFIED ADDICTIONS)
Entity type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:PAGE
Last Name:COX
Suffix:
Gender:F
Credentials:CERTIFIED ADDICTIONS
Other - Prefix:MS
Other - First Name:NATASHA
Other - Middle Name:CHERELLE
Other - Last Name:PAGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CERTIFIED ADDICTIONS
Mailing Address - Street 1:1430 S CASHUA DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-6323
Mailing Address - Country:US
Mailing Address - Phone:843-673-0660
Mailing Address - Fax:843-669-6122
Practice Address - Street 1:601 GREGG AVENUE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29502-6196
Practice Address - Country:US
Practice Address - Phone:843-665-9349
Practice Address - Fax:843-669-6122
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)