Individual
MR. RANDY M FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFO
Contact information
Practice address
1044 X RAY DR, GASTONIA, NC 28054-7488
(704) 691-7145
(704) 691-7631
Mailing address
1044 X RAY DR, GASTONIA, NC 28054-7488
(704) 691-7145
(704) 691-7631
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
C20123
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962749838
—
NC
Enumeration date
08/23/2017
Last updated
07/21/2022
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