Individual
ANISSA MCGARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 FOREST PARK LN, SUWANEE, GA 30024-2583
(678) 617-2062
Mailing address
750 FOREST PARK LN, SUWANEE, GA 30024-2583
(678) 617-2062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
—
146L00000X
Paramedic
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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