Individual
DR. EMILY JO ANDERSON MACKILLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236
(770) 603-3877
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PSY003221
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631220898A
—
GA
Enumeration date
09/21/2008
Last updated
06/28/2011
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