Basic Information
| Provider Information | |||||||||
| NPI: | 1750487633 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FOX | ||||||||
| FirstName: | GAIL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | R.N. BSN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10523 PICKEREL LN | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282134828 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7045109192 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 249 BILLINGSLEY RD | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282111003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7044323011 | ||||||||
| FaxNumber: | 7043310859 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC1500X | 187692 | NC | Y | Nursing Service Providers | Registered Nurse | Community Health |
No ID Information.