Provider Demographics
NPI:1033263975
Name:FOX, JODI SHARON (ATC)
Entity Type:Individual
Prefix:MRS
First Name:JODI
Middle Name:SHARON
Last Name:FOX
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:404-483-7444
Mailing Address - Fax:
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:404-483-7444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3442255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer