Individual
DEBORAH MCKINNIES-WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 RIVERLAKE WAY, SNELLVILLE, GA 30039-8722
(678) 344-8849
Mailing address
3375 CENTERVILLE HWY UNIT 392624, #392624, SNELLVILLE, GA 30039-0125
(404) 797-8776
(404) 601-4267
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
—
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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