Individual
DENICE CARROLL MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5150 STILESBORO RD NW STE 210, KENNESAW, GA 30152-7742
(404) 273-7478
(678) 573-4809
Mailing address
5150 STILESBORO RD NW STE 210, KENNESAW, GA 30152-7742
(404) 273-7478
(678) 573-4809
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002296
GA
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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