Individual
MACI DEE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
605 W MARY STREET, VALDOSTA, GA 31698-0001
(765) 532-3498
Mailing address
1601 NORMAN DR APT FF2, VALDOSTA, GA 31601-3245
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002933
GA
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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