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Contact Information

TIA L FOX, PA
200 PAVILION WAY
SOUTHERN PINES, NC28387-4561
 Phone: 910-235-3330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Dermatology

207N00000X 07 Physician/Dermatology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for TIA L FOX · (Female)

NPI Number 1760909535
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/23/2017
Last updated 05/07/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9110439
  • NC License # 0010-11773
  • NC License # 001011773
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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