NPI 1538734876

Frank Mack

Practitioner Prevention Professional Macon, GA

Practice location

Address: 277 Mlk Blvd, Macon, GA 31201
Phone: (478) 284-6826
Mailing address: PO Box 1715, Macon, GA 31202-1715

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 6213-1706-6535-7312 (GA)

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Registry record

NPI: 1538734876
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 May 2021
Record last updated: 20 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.