Individual
PAULINE PATRICIA PENNANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 ETHANS WAY, MCDONOUGH, GA 30252-1710
(770) 898-2434
(678) 833-5973
Mailing address
1205 ETHANS WAY, MCDONOUGH, GA 30252-1710
(770) 865-9153
(678) 833-5973
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/09/2011
Last updated
04/09/2011
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