Provider Demographics
NPI:1033690706
Name:FOX, TAMMY ADAMS (APRN)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:ADAMS
Last Name:FOX
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1436 RIVERCHASE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1777
Mailing Address - Country:US
Mailing Address - Phone:803-329-2636
Mailing Address - Fax:803-329-2184
Practice Address - Street 1:838 W MEETING ST STE D
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-6233
Practice Address - Country:US
Practice Address - Phone:810-286-8446
Practice Address - Fax:803-329-2184
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC22166363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily