VIRGINIA HICKS TAYLOR MACK

ATLANTA, GA
NPI1427231927
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  RN178733)
Enumeration Date2007-12-07
Last Update Date2007-12-07
Business Address
-- VIRGINIA HICKS TAYLOR MACK RN
265 BOULEVARD NE
ATLANTA, GA 30312-1208
Phone number: 404-730-1650
Mailing Address
-- VIRGINIA HICKS TAYLOR MACK RN
537 FLINT RIVER COURT
JONESBORO, GA 30238
Phone number: 770-472-9917
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