Individual
JACOB FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8838 US HIGHWAY 70 W, SUITE 700, CLAYTON, NC 27520-4822
(919) 553-5505
Mailing address
8838 US HIGHWAY 70 W, SUITE 700, CLAYTON, NC 27520-4822
(919) 553-5505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2088
NC
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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