CHRISTINE WILLEY MACKO

FORT STEWART, GA
NPI1952702383
Former NameCHRISTINE LOUISE WILLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WX0106X Registered Nurse, Occupational Health
(Licence: GA  RN242355)
Additional Taxonomies163W00000X Registered Nurse
(Licence: PA  RN320388L)
163WG0100X Registered Nurse, Gastroenterology
(Licence: TX  710724)
163WP2201X Registered Nurse, Ambulatory Care
(Licence: TX  710724)
261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: NC  227203)
Enumeration Date2014-09-04
Last Update Date2014-09-04
Business Address
-- CHRISTINE WILLEY MACKO BSN, RN-BC
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-5101
Mailing Address
-- CHRISTINE WILLEY MACKO BSN, RN-BC
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-5101