Individual
AGINA ZACKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 PENNSYLVANIA AVE STE 102, MCDONOUGH, GA 30253-9110
(678) 720-5907
Mailing address
1350 PENNSYLVANIA AVE STE 102, MCDONOUGH, GA 30253-9110
(678) 720-5907
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/25/2023
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