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Organization
MACKY ENTERPRISES PC
Active
Organization
MACKY ENTERPRISES PC
Active
Other names
Peachtree Childrens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLON MCALLISTER-BROOKS MD (OWNER)
(770) 446-1818
Entity
Organization
Contact information
Practice address
5380 PEACHTREE INDUSTRIAL BLVD, 140, NORCROSS, GA 30071-4713
(770) 446-1818
(770) 446-1808
Mailing address
5380 PEACHTREE INDUSTRIAL BLVD, 140, NORCROSS, GA 30071-4713
(770) 446-1818
(770) 446-1808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
061299
GA
Other
Enumeration date
10/06/2009
Last updated
02/23/2010
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