Individual
PAIGE MACKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(618) 979-8208
Mailing address
520 BRIGADIER LNDG, GROVETOWN, GA 30813-3360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93967
GA
Other
Enumeration date
05/09/2021
Last updated
01/09/2024
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