| Doctor Name: | BRUCE M FOX |
| NPI Number: | 1063858819 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C |
| License Number: | RN0000067661 |
| Business Practice Address: | 513 Benjamin Way Suite 200 Dalton, GA - 307214682 |
| Business Phone Number: | 7162171795 |
| Business Fax Number: | 7062171814 |
| Mailing Address: | 8907 Long Savannah Rd, OOLTEWAH |
| State: | TN |
| Postal Code: | 373635703 |
| Phone Number: | 4233448586 |
| Fax Number: | 4233448586 |
| NPI Enumeration Date: | 05/21/2013 |
| NPI Last Update Date: | 05/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN0000067661 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |