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NPI Code Detail

MEDICARE: MEREDITH L. FOX PA-C

MEDICARE: MEREDITH L. FOX PA-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
1363AM0700XMedical Physician Assistant006487GA
2363AM0700XMedical Physician Assistant7364CT
3363A00000XPhysician Assistant6487GA

General Provider Information

NPI Number : 1730437732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH L. FOX PA-C
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number :
Provider Business Practice Location Address
First Line : 4919 ATLANTA HWY
Second Line :
City : FLOWERY BRANCH
State : GA
Zip : 30542-3328
Country : US
Telephone Number : 770-848-9160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2012
Last Update Date : 11/19/2025

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Directions to “ MEREDITH L. FOX PA-C” Practice Location

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