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Individual

CARLA A MCLEAN-JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1575 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4007
(770) 528-4192
(770) 528-5463
Mailing address
1575 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4007
(770) 528-4192
(770) 528-5463

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39411
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000674781M
GA
Enumeration date
06/16/2005
Last updated
04/28/2020
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