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
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 ServiceHealth Service

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