Individual
NEIL S MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5955 STATE BRIDGE RD, SUITE 200, JOHNS CREEK, GA 30097-8208
(678) 205-4261
(678) 417-7187
Mailing address
100 GALLERIA PKWY SE, SUITE 410, ATLANTA, GA 30339-3179
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TEMP PERMIT 1961
GA
Other
Enumeration date
10/07/2009
Last updated
11/17/2009
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