Individual
MR. MICHAEL LEE MCKINNEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 788-5675
Mailing address
1740 HUDSON BRIDGE RD STE 1135, STOCKBRIDGE, GA 30281-6331
(678) 788-5675
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4913
GA
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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