Individual
MS. MARY VIRGINIA ACKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
30 WARREN ST SE, DEKALB GRADY CLINIC, ATLANTA, GA 30317-2267
(404) 616-9304
(404) 377-9324
Mailing address
30 WARREN ST SE, DEKALB GRADY CLINIC, ATLANTA, GA 30317-2267
(404) 616-9304
(404) 377-9324
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN034948
GA
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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