Provider Demographics
NPI:1194879031
Name:FOX, JAMES SCOTT (CO, ATC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:SCOTT
Last Name:FOX
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Gender:M
Credentials:CO, ATC
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Mailing Address - Street 1:3300 NORTHEAST EXPY NE
Mailing Address - Street 2:BLDG. 8, STE. B
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-3932
Mailing Address - Country:US
Mailing Address - Phone:770-500-3996
Mailing Address - Fax:770-500-3999
Practice Address - Street 1:3300 NORTHEAST EXPY NE
Practice Address - Street 2:BLDG. 8, STE. B
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-3932
Practice Address - Country:US
Practice Address - Phone:770-500-3996
Practice Address - Fax:770-500-3999
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA3432255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer