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Individual

MRS. LELIA JOHNSON MACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
958 JOE FRANK HARRIS PKWY SE STE 103, CARTERSVILLE, GA 30120-2158
(770) 387-8188
(770) 606-2110
Mailing address
3 HOWARD HTS, CARTERSVILLE, GA 30120-3038
(770) 387-9873

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002669
GA

Other

Enumeration date
06/27/2007
Last updated
07/08/2007
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