Individual
MS. KIMBERLY ALISON MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-5437
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA08315
TX
363AS0400X
Surgical Physician Assistant
Primary
8042
GA
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
02/20/2013
Last updated
05/19/2020
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