Provider Demographics
NPI:1730115718
Name:FOX, JAMES R (PA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:FOX
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 890273
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28289-0273
Mailing Address - Country:US
Mailing Address - Phone:828-241-2377
Mailing Address - Fax:
Practice Address - Street 1:3114 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NC
Practice Address - Zip Code:28610-9609
Practice Address - Country:US
Practice Address - Phone:828-459-7324
Practice Address - Fax:828-459-7500
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC103828363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q07743Medicare UPIN
NC2760074CMedicare Oscar/Certification
NC2760074BMedicare Oscar/Certification