Individual
MS. ANGELA MAXINE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
645 WILDBOAR CT, FAIRBURN, GA 30213-2192
(770) 306-2011
(770) 306-2011
Mailing address
645 WILDBOAR CT, FAIRBURN, GA 30213-2192
(770) 306-2011
(770) 306-2011
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN070160
GA
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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