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1871585158
NANCY C MCINNIS
TUCKER, GA
NPI
1871585158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 001704)
Enumeration Date
2005-08-22
Last Update Date
2015-05-01
Business Address
Mrs. NANCY C MCINNIS pa
2200 NORTHLAKE PKWY STE 280
TUCKER, GA 30084-4022
Phone number: 770-938-1757
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Mailing Address
Mrs. NANCY C MCINNIS pa
4291ROYAL MUSTANG WAY
LITHONIA, GA 30058
Phone number: 770-985-8512
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