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NPI Code Detail

MEDICARE: IAN FOXALL. M.D

MEDICARE: IAN FOXALL. M.D
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
1207R00000XInternal Medicine Physician2013-1538NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528008109
Entity Type Code : Individual
Provider Name (Legal Business Name) : IAN FOXALL. M.D
Provider Business Mailing Address
First Line : 2215 CANTERWOOD DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7301
Country : US
Telephone Number : 910-762-4600
Fax Number : 910-762-9483
Provider Business Practice Location Address
First Line : 2215 CANTERWOOD DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7301
Country : US
Telephone Number : 910-762-4600
Fax Number : 910-762-9483
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 08/23/2013

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