Individual
MICHAEL PAUL MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5478
Mailing address
301 HIGHLAND POINTE DR, COHUTTA, GA 30710-7348
(706) 581-1169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9808
GA
376K00000X
Nurse's Aide
CN0030039899
GA
Other
Enumeration date
12/13/2017
Last updated
08/11/2020
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