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NPI Code Detail

MEDICARE: MRS. LAUREL K FOX CRNA

MEDICARE: MRS. LAUREL K FOX CRNA
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
1367500000XCertified Registered Nurse Anesthetist25345SC
2367500000XCertified Registered Nurse Anesthetist37462TX

General Provider Information

NPI Number : 1548263510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREL K FOX CRNA
Provider Business Mailing Address
First Line : 14 CHADWICK DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-7464
Country : US
Telephone Number : 843-766-7819
Fax Number : 843-720-8449
Provider Business Practice Location Address
First Line : 125 DOUGHTY ST
Second Line : STE 430
City : CHARLESTON
State : SC
Zip : 29403-5741
Country : US
Telephone Number : 843-720-8448
Fax Number : 843-720-8449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. LAUREL K FOX CRNA” Practice Location

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