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Individual

AMY M FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
Mailing address
2810 LINCOLNSHIRE CT STE 400, WAUKESHA, WI 53188-1372
(414) 520-9155
(262) 780-4090

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
36550
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
94255
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32134000
WI
05
32813500
WI
Enumeration date
04/22/2006
Last updated
04/19/2023
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