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1124430830
MACKENZIE KING
ATLANTA, GA
NPI
1124430830
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Former Name
MACKENZIE FAYE JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 151113)
Enumeration Date
2014-05-29
Last Update Date
2019-05-06
Business Address
MACKENZIE KING NP
1000 JOHNSON FERRY RD
ATLANTA, GA 30342-1606
Phone number: 404-851-6323
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Mailing Address
MACKENZIE KING NP
5605 GLENRIDGE DR STE 325
ATLANTA, GA 30342-1365
Phone number: 678-553-7783
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