Provider Demographics
NPI:1477275808
Name:THE FIX, LLC
Entity Type:Organization
Organization Name:THE FIX, LLC
Other - Org Name:THE FIX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:DOCKERY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-669-9689
Mailing Address - Street 1:PO BOX 219
Mailing Address - Street 2:
Mailing Address - City:YOUNG HARRIS
Mailing Address - State:GA
Mailing Address - Zip Code:30582-0219
Mailing Address - Country:US
Mailing Address - Phone:706-669-9689
Mailing Address - Fax:
Practice Address - Street 1:3196 GA-515
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-3051
Practice Address - Country:US
Practice Address - Phone:706-663-3883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center