Individual
MARY ELBA MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2174 N DRUID HILLS RD NE, ATLANTA, GA 30329-3102
(404) 785-5437
Mailing address
4700 HIGHSIDE WAY, SMYRNA, GA 30082-4413
(219) 588-7197
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN313254
GA
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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