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Organization

THE FOX CLUB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHUJUAN TAO MCDONALD (MANAGING MEMBER)
(706) 247-2741
Entity
Organization

Contact information

Practice address
106 E PACES DR, ATHENS, GA 30605-5217
(706) 247-2741
Mailing address
106 E PACES DR, ATHENS, GA 30605-5217
(706) 247-2741

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
03/19/2026
Last updated
03/19/2026
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