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Individual

KORINNE MCNALLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
125 CLAIREMONT AVE STE 190, DECATUR, GA 30030-2585
(404) 748-9691
Mailing address
2356 DESMOND DR, DECATUR, GA 30033-4745
(770) 617-0008

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN248844
GA

Other

Enumeration date
09/23/2024
Last updated
09/23/2024
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