Provider Demographics
NPI:1760876197
Name:FOX, GAYLING
Entity Type:Individual
Prefix:
First Name:GAYLING
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 HEARTLAND CT
Mailing Address - Street 2:
Mailing Address - City:GRAY COURT
Mailing Address - State:SC
Mailing Address - Zip Code:29645-7250
Mailing Address - Country:US
Mailing Address - Phone:864-238-0855
Mailing Address - Fax:
Practice Address - Street 1:621 HEARTLAND CT
Practice Address - Street 2:A
Practice Address - City:GRAY COURT
Practice Address - State:SC
Practice Address - Zip Code:29645-7250
Practice Address - Country:US
Practice Address - Phone:864-238-0855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula