KELLIE MACK

VIDALIA, GA
NPI1972271765
Former NameKELLIE MACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2021-09-06
Last Update Date2021-09-06
Business Address
KELLIE MACK ATC
709 ALLEN DR
VIDALIA, GA 30474-6348
Phone number: 912-373-2568
Mailing Address
KELLIE MACK ATC
709 ALLEN DR
VIDALIA, GA 30474-6348
Phone number: 912-373-2568
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