Individual
MISS BRITTANY TARA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
76 HIGHLAND PAVILION CT, SUITE 133, HIRAM, GA 30141-3169
(770) 439-1172
(706) 378-1204
Mailing address
PO BOX 80883, ATHENS, GA 30608-0883
(706) 549-8114
(706) 549-7558
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
06780
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136750E
—
GA
Enumeration date
05/08/2013
Last updated
01/28/2015
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