Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 053590 | GA |
Y | 208000000X | Pediatrician | D53590 | GA |
NPI | 1003894452 |
---|---|
Provider Name | Dr. Margaret Fox Fox |
First Address | Atlanta, GA 30305-1717 |
Second Address | Alpharetta, GA 30005-3821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 13/01/2022 |