Fox, Brittany Tara

Fox, Brittany Tara is an individual health care provider with primary practice located at 76 Highland Pavilion Ct Suite 133, Hiram GA 30141-3169. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fox, Brittany Tara can be contacted via phone (770) 439-1172.

Contact Information

Primary practice address
76 Highland Pavilion Ct Suite 133 Hiram GA 30141-3169
Phone: (770) 439-1172
Fax: (706) 378-1204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 06780 Georgia

Profile Details

NPI number 1598100232
LBN Legal business name Fox, Brittany Tara
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2013
Last updated Jan 28th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598100232 NPPES
Georgia MEDICAID 003136750E

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