MEDICARE: DR. MARLON KEITH FOX D.C.

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	111N00000X	Chiropractor	1256	SC

General Provider Information

NPI Number	:	1467439620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARLON KEITH FOX D.C.

Provider Business Mailing Address
First Line	:	7944 DORCHESTER RD
Second Line	:	SUITE 3
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-2919
Country	:	US
Telephone Number	:	843-552-0000
Fax Number	:	843-552-0010

Provider Business Practice Location Address
First Line	:	7944 DORCHESTER RD
Second Line	:	SUITE 3
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-2919
Country	:	US
Telephone Number	:	843-552-0000
Fax Number	:	843-552-0231

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

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	08/04/2008

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