Individual
MS. ASHLEE T MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
H.I.S.
Contact information
Practice address
11490 ALPHARETTA HWY, #500, ROSWELL, GA 30076-3811
(678) 566-7463
(678) 566-1565
Mailing address
3268 US HIGHWAY 441 S, OKEECHOBEE, FL 34974-6239
(863) 763-9700
(863) 763-9705
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IIAP000070
GA
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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