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Individual

MCKENZIE LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3240 NORTHEAST EXPY NE, ATLANTA, GA 30341-4003
(404) 480-9330
Mailing address
3400 OLD MILTON PKWY STE 301, ALPHARETTA, GA 30005-3707

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11277
GA

Other

Enumeration date
12/01/2022
Last updated
06/03/2025
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