Individual
MR. JAMES V. INTORCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.
Contact information
Practice address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
(478) 254-5324
Mailing address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
(478) 254-5324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001915
GA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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