Individual
CORY MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1921 BROWNING BEND CT, DACULA, GA 30019-7774
(404) 655-9789
Mailing address
1921 BROWNING BEND CT, DACULA, GA 30019-7774
(404) 655-9789
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
5668
GA
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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