NPI 1790082436

Susan L Mack, HOMEOPATHND

Practitioner Homeopath Flowery Branch, GA

Practice location

Address: 6484 Ford Rd, Flowery Branch, GA 30542-2636
Phone: (678) 777-6484
Fax: (770) 967-6835
Mailing address: PO Box 1030, Oakwood, GA 30566-0018

Registered specialties

Homeopath Primary

Other Service Providers Taxonomy 175L00000X Licence 13694 (GA)

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Registry record

NPI: 1790082436
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2011
Record last updated: 15 Feb 2011

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.