| Doctor Name: | MR. MARK WILLIAM FOX |
| NPI Number: | 1316271620 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSN FNP-C |
| License Number: | 0024168492 |
| Business Practice Address: | 5261 Carrollton Pike Suite C Woodlawn, VA - 24381 |
| Business Phone Number: | 2762380911 |
| Business Fax Number: | 2762380912 |
| Mailing Address: | 5261 Carrollton Pike, Suite C WOODLAWN |
| State: | VA |
| Postal Code: | 24381 |
| Phone Number: | 2762380911 |
| Fax Number: | 2762380912 |
| NPI Enumeration Date: | 09/21/2009 |
| NPI Last Update Date: | 07/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024168492 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |