Individual
MISS COURTNEY ADRIENNE FAUQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, NREMT-B
Contact information
Practice address
2244 RIVER CLIFF DR, GAINESVILLE, GA 30501-1684
(678) 481-7399
Mailing address
2244 RIVER CLIFF DR, GAINESVILLE, GA 30501-1684
(678) 481-7399
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001194
GA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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