Fox, Shelly R.

Fox, Shelly R. is an individual health care provider with primary practice located at 1200 Memorial Dr , Dalton GA 30720-2529. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fox, Shelly R. can be contacted via phone (706) 272-6158.

Contact Information

Primary practice address
1200 Memorial Dr Dalton GA 30720-2529
Phone: (706) 272-6158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN165285 Georgia

Profile Details

NPI number 1740318245
LBN Legal business name Fox, Shelly R.
Credentials FNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated May 3rd, 2011 - about 15 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 1740318245 NPPES
Georgia Other P00427532 RAILROAD MEDICARE
Georgia MEDICAID 788587805A RAILROAD MEDICARE

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