MS. Kakethia S. Mack, NURSEPRACTITIONER
MS. Kakethia S. Mack, NURSEPRACTITIONER is a Family Nurse Practitioner in Ellenwood, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2018
Practice location Address checks out
4124 Bosenberry WayEllenwood, GA 30294
Phone: (678) 463-6568
Fax: (678) 463-6568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence RN154797 (GA) |
|---|
Record details
| NPI number | 1346748837 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | January 30, 2018 |
| Last updated in NPPES | July 2, 2018 |
Other providers in Ellenwood
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Kathleen C Haynes, FNP
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Mrs. Terrilyn D Lemons, APRNP
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2568 Brittany Park Cv, Ellenwood, GA 30294-6288 · (404) 578-5437
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Teresinia Lanae Scott, APN
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