MS. Kakethia S. Mack, NURSE PRACTITIONER
NPI #1346748837 in Ellenwood, Georgia
Provider Information
- NPI Number
- 1346748837
- Entity Type
- Individual
- Name
- MS. Kakethia S. Mack, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Jan 30, 2018
- Last Updated
- Jul 2, 2018
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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