Healthcare Provider Details

I. General information

NPI: 1881686442
Provider Name (Legal Business Name): JAMES CLYDE FOXWORTHY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 LAUCHWOOD DR
LAURINBURG NC
28352-5599
US

IV. Provider business mailing address

3220 BANBERRY DR
STATESVILLE NC
28625-4569
US

V. Phone/Fax

Practice location:
  • Phone: 910-291-7000
  • Fax:
Mailing address:
  • Phone: 704-838-2291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number9500579
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: