Provider Demographics
NPI:1528292331
Name:FOX, JAMES EDWIN JR
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:EDWIN
Last Name:FOX
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8119 ISABELLA LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8173
Mailing Address - Country:US
Mailing Address - Phone:615-376-7700
Mailing Address - Fax:615-376-7775
Practice Address - Street 1:8119 ISABELLA LN
Practice Address - Street 2:SUITE 100
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8173
Practice Address - Country:US
Practice Address - Phone:615-376-7700
Practice Address - Fax:615-376-7775
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator