THOMAS ALEXANDEER MACKEAN

VALDOSTA, GA
NPI1356318265
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN146046)
Enumeration Date2006-03-01
Last Update Date2015-04-01
Business Address
-- THOMAS ALEXANDEER MACKEAN FNPC
704 GIL HARBIN INDUSTRIAL BLVD
VALDOSTA, GA 31601-6513
Phone number: 229-242-9003
Mailing Address
-- THOMAS ALEXANDEER MACKEAN FNPC
PO BOX 889
LAKE PARK, GA 31636-0889
Phone number: 229-242-9003
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