MICALINE REGIS

ATLANTA, GA
NPI1891981130
Former NameMICALINE PENNIE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  005194)
Enumeration Date2007-09-20
Last Update Date2011-07-05
Business Address
-- MICALINE REGIS
95 COLLIER RD NW SUITE 2035
ATLANTA, GA 30309-1796
Phone number: 404-605-2800
Mailing Address
-- MICALINE REGIS
95 COLLIER RD NW SUITE 2035
ATLANTA, GA 30309-1796
Phone number: 404-605-2800
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