Individual
DOROTHEA KATRICE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
104 BORDERS WAY STE 500, WARNER ROBINS, GA 31088
(478) 352-0422
(888) 813-6815
Mailing address
104 BORDERS WAY STE 500, WARNER ROBINS, GA 31088-8967
(478) 352-0422
(888) 813-6815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003184
GA
Other
Enumeration date
11/04/2007
Last updated
07/13/2018
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