Provider Demographics
NPI:1902690068
Name:COX-TERRY, MAYA EILEEN (DO)
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:EILEEN
Last Name:COX-TERRY
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:MAYA
Other - Middle Name:EILEEN
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2100 STANTONSBURG RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-2818
Mailing Address - Country:US
Mailing Address - Phone:252-744-2350
Mailing Address - Fax:252-744-5348
Practice Address - Street 1:2100 STANTONSBURG RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2818
Practice Address - Country:US
Practice Address - Phone:252-744-2350
Practice Address - Fax:252-744-5348
Is Sole Proprietor?:No
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCOXT-RTUGDA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program