Individual
TISA MACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2627 SANDY PLAINS RD STE 201, MARIETTA, GA 30066-4289
(470) 909-1046
Mailing address
2627 SANDY PLAINS RD STE 201, MARIETTA, GA 30066-4289
(470) 909-1046
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
246Y00000X
Health Information Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
02/04/2025
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