Individual
COLLETTE R FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLP
Contact information
Practice address
711 N DEKALB ST, SHELBY, NC 28150-3911
(704) 482-1482
(704) 480-6012
Mailing address
711 N DEKALB ST, SHELBY, NC 28150-3911
(704) 482-1482
(704) 480-6012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005221
NC
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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