Provider Demographics
NPI:1245431444
Name:FOX, AMY WHITE (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:WHITE
Last Name:FOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 QUADRANGLE DR STE 180
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7815
Mailing Address - Country:US
Mailing Address - Phone:919-228-8238
Mailing Address - Fax:336-348-0816
Practice Address - Street 1:6320 QUADRANGLE DR STE 180
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7815
Practice Address - Country:US
Practice Address - Phone:919-228-8238
Practice Address - Fax:336-348-0816
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-00163207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty