MEDICARE: ELIZABETH A FOX MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	0101236456	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	354672	OTHER	VA	ANTHEM
2	2278757	OTHER	VA	CIGNA
3	328239	OTHER	VA	SOUTHERN HEALTH
4	7875706	OTHER	VA	AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	203230510	OTHER	VA	MEDCOST
7	1518962877	OTHER	VA	VIRGINIA PREMIER

General Provider Information

NPI Number	:	1518962877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH A FOX MD

Provider Business Mailing Address
First Line	:	184 W MAIN ST
Second Line	:
City	:	WYTHEVILLE
State	:	VA
Zip	:	24382-2330
Country	:	US
Telephone Number	:	276-228-2008
Fax Number	:	276-228-5598

Provider Business Practice Location Address
First Line	:	140 W MAIN ST
Second Line	:
City	:	WYTHEVILLE
State	:	VA
Zip	:	24382-2330
Country	:	US
Telephone Number	:	276-228-2008
Fax Number	:	276-228-5598

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	02/26/2020

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Directions to “ ELIZABETH A FOX MD” Practice Location

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