Individual
CAROLE MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
205 BLUE RIDGE CT, ELLENWOOD, GA 30294-2972
(404) 324-9014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN146832
GA
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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