Individual
FRED MCALLISTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 WESTMOOR DR NW, ATLANTA, GA 30314-2828
(404) 376-3014
Mailing address
1005 WESTMOOR DR NW, ATLANTA, GA 30314-2828
(404) 376-3014
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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