Individual
BRUCE M FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
513 BENJAMIN WAY, SUITE 200, DALTON, GA 30721-4682
(716) 217-1795
(706) 217-1814
Mailing address
8907 LONG SAVANNAH RD, OOLTEWAH, TN 37363-5703
(423) 344-8586
(423) 344-8586
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN0000067661
TN
363LF0000X
Family Nurse Practitioner
Primary
RN084674
GA
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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