Individual
CAROLINE BAILEY FAWCETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 CHRISPEN TRCE SW, MABLETON, GA 30126-1470
(404) 825-7637
Mailing address
430 CHRISPEN TRCE SW, MABLETON, GA 30126-1470
(404) 825-7637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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