Individual
JENNIFER L MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1676 MULKEY RD, STE A, AUSTELL, GA 30106-1170
(678) 838-6600
(678) 838-6602
Mailing address
1676 MULKEY RD, STE A, AUSTELL, GA 30106-1170
(678) 838-6600
(678) 838-6602
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
111078
GA
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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