NPI 1073025961

Maci Dee Fox, ATC

Practitioner Athletic Trainer Valdosta, GA

Practice location

Address: 605 W Mary Street, Valdosta, GA 31698-0001
Phone: (765) 532-3498
Mailing address: 1601 Norman Dr APT Ff2, Valdosta, GA 31601-3245

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT002933 (GA)

Other Specialist/Technologist providers in Georgia →

Registry record

NPI: 1073025961
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2017
Record last updated: 31 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.