Provider Demographics
NPI:1679637235
Name:FOX, TAMARA WILLIAMS (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:WILLIAMS
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 1:205 HOUNDS CHASE
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-3339
Mailing Address - Country:US
Mailing Address - Phone:757-867-7802
Mailing Address - Fax:
Practice Address - Street 1:60 INGALLS RD
Practice Address - Street 2:BUILDING 82
Practice Address - City:FORT MONROE
Practice Address - State:VA
Practice Address - Zip Code:23651-1032
Practice Address - Country:US
Practice Address - Phone:757-314-8080
Practice Address - Fax:757-314-8030
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101045724207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine