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Individual

ANTONINA ZAIRE MCKAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
2753 HIGHWAY 34 E, SUITE 1, NEWNAN, GA 30265-2145
(770) 252-3661
(770) 252-9598
Mailing address
2753 HIGHWAY 34 E, SUITE 1, NEWNAN, GA 30265-2145
(770) 252-3661
(770) 252-9598

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006408
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44-00061
UNITEDHEALTH CARE
GA
01
811896
BLUE CROSS BLUE SHIELD
GA
Enumeration date
02/13/2007
Last updated
07/08/2007
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