Provider Demographics
NPI:1205168127
Name:FOX, MICHAEL ROLAND JR (RPSGT)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ROLAND
Last Name:FOX
Suffix:JR
Gender:M
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 E PARRIS AVE
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7709
Mailing Address - Country:US
Mailing Address - Phone:336-442-1392
Mailing Address - Fax:336-885-1060
Practice Address - Street 1:136 E PARRIS AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7709
Practice Address - Country:US
Practice Address - Phone:336-442-1392
Practice Address - Fax:336-885-1060
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other