Individual
ELIZABETH ALEXANDRA FAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2580 THE RDGS, HIAWASSEE, GA 30546-4543
(706) 896-4235
Mailing address
2580 THE RDGS, HIAWASSEE, GA 30546-4543
(770) 842-2454
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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