Individual
SAWYER FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
912 2ND ST SE, MOULTRIE, GA 31768-5606
(815) 213-1490
Mailing address
912 2ND ST SE, MOULTRIE, GA 31768-5606
(815) 213-1490
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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