Individual
MARIE MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 DELTA BLVD, ATLANTA, GA 30354-1989
(404) 778-8281
Mailing address
1030 DELTA BLVD, ATLANTA, GA 30354-1989
(404) 778-8281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036146809
IL
207R00000X
Internal Medicine Physician
Primary
85696
GA
Other
Enumeration date
04/01/2015
Last updated
07/15/2020
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