Individual
REGINA MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 PALM SPRINGS DR, EAST POINT, GA 30344-6521
(404) 362-7965
Mailing address
4250 PALM SPRINGS DR, EAST POINT, GA 30344-6521
(404) 362-7965
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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