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Individual

KHADIJAH LATEEF MCGANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
7245 ROCKBRIDGE RD, SUITE 400, LITHONIA, GA 30058-8613
(404) 903-1130
Mailing address
1425 SPRING HILL RUN, LITHONIA, GA 30058-7023
(404) 903-1130

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008894
GA

Other

Enumeration date
11/19/2010
Last updated
11/19/2010
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