Individual
VICKY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
694 ETHERIDGE MILL ROAD, ORCHARD HILL, GA 30266-0072
(770) 584-0837
Mailing address
PO BOX 72, ORCHARD HILL, GA 30266-0072
(770) 584-0837
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN066536
GA
363LG0600X
Gerontology Nurse Practitioner
RN066536
GA
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us