SearchGeorgia183500000X

Theron Fox

NPI 1841304383 · on the registry since 2006 · sole proprietor

Practice

Address
204 Butler Ave
Midway, GA 31320
Phone
(912) 884-9255
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia