Individual
DR. NICHOLAS RYAN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96 JONATHAN LUCAS STREET CSB STE 816, CHARLESTON, SC 29425-3134
(843) 792-7199
Mailing address
3320 OLD JEFFERSON RD STE 200A, ATHENS, GA 30607-1478
(706) 549-5560
(706) 543-2593
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD20658
ME
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
083056
GA
207RP1001X
Pulmonary Disease Physician
083056
GA
Other
Enumeration date
06/28/2011
Last updated
07/21/2022
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