Provider Demographics
NPI:1427745579
Name:COX, DYLAN AUSTIN (DC)
Entity type:Individual
Prefix:DR
First Name:DYLAN
Middle Name:AUSTIN
Last Name:COX
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1598
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-1598
Mailing Address - Country:US
Mailing Address - Phone:910-893-8000
Mailing Address - Fax:
Practice Address - Street 1:133 W CORNELIUS HARNETT BLVD STE D
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-5168
Practice Address - Country:US
Practice Address - Phone:910-893-8000
Practice Address - Fax:910-893-4115
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5611111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor