Individual
NINA MCKENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
440 PRIOR ST SE, GAINESVILLE, GA 30501-3402
(770) 535-5960
Mailing address
4360 GAVIRA CT, CUMMING, GA 30040-0455
(347) 865-2500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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