Individual
MARLON MCKOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 GREEN DR, CATAULA, GA 31804-4041
(786) 271-0707
(770) 400-0079
Mailing address
129 GREEN DR, CATAULA, GA 31804-4041
(786) 271-0707
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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