Individual
MR. MARK ALAN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 LANTANA RD, SUITE 202, CROSSVILLE, TN 38555-1903
(931) 484-5141
(931) 484-5620
Mailing address
100 LANTANA RD, SUITE 202, CROSSVILLE, TN 38555-1903
(931) 484-5141
(931) 484-5620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD18036
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020015278
RAILROAD MEDICARE
—
01
—
123414
BLUE CROSS
TN
05
—
3058927
—
TN
Enumeration date
08/14/2006
Last updated
06/07/2021
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