Individual
FRANK MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
277 MLK BLVD, MACON, GA 31201
(478) 284-6826
Mailing address
PO BOX 1715, MACON, GA 31202-1715
(478) 284-6826
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
6213-1706-6535-7312
GA
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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