Mack Xpress Medical Diagnostics and Physicals
NPI #1326754789 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1326754789
- Entity Type
- Organization
- Organization Name
- Mack Xpress Medical Diagnostics and Physicals
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jan 27, 2023
- Last Updated
- Jan 27, 2023
Practice Location
- Address
- 45 PINE GROVE RD
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-2561
- Phone
- (470) 507-4444
Authorized Official
- Name
- KAKETHIA S MACK, NP
- Title
- OWNER
- Phone
- (678) 951-3794
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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