Organization
JACQUELYN MACEY PA-C LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN DENISE MACEY PA-C (PHYSICAIAN ASSISTANT)
(850) 582-1221
Entity
Organization
Contact information
Practice address
2400 WISTERIA DR STE A, SNELLVILLE, GA 30078-2689
(770) 985-9330
Mailing address
1105 TOWN BLVD NE UNIT 2302, BROOKHAVEN, GA 30319-3662
(850) 582-1221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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