Individual
VANTRELL TERRELL FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12850 WALTER LEE CIR N, GRAND BAY, AL 36541-5035
(251) 622-8275
Mailing address
12850 WALTER LEE CIR N, GRAND BAY, AL 36541-5035
(251) 622-8275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-158852
AL
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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