Individual
MACIE REBEKAH CABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
824 GI MADDOX PKWY, CHATSWORTH, GA 30705-2147
(706) 695-0561
Mailing address
907 STONELEIGH RD, DALTON, GA 30720-5279
(067) 618-6945
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2022
Last updated
10/11/2023
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