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Individual

MELLINY M MACKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2506 LAMBERT DR, OPELIKA, AL 36801-7237
(334) 742-2700
(334) 742-2840
Mailing address
4 MISSISSIPPI DR, PHENIX CITY, AL 36869-3704
(334) 480-0667
(334) 742-2840

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-069183
AL

Other

Enumeration date
03/20/2007
Last updated
07/09/2007
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