TERRY MACK

LAWRENCEVILLE, GA
NPI1114563046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: FL  9478449)
Enumeration Date2019-11-26
Last Update Date2019-11-26
Business Address
TERRY MACK
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Mailing Address
TERRY MACK
2303 TREE SUMMIT PKWY
DULUTH, GA 30096-7926
Phone number: