Individual
JAMES MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5422 STIRRUP WAY, POWDER SPRINGS, GA 30127-4083
(678) 577-0279
Mailing address
5422 STIRRUP WAY, POWDER SPRINGS, GA 30127-4083
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
17
GA
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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