| Ms Kakethia S Mack, NURSE PRACTITIONER | |
|
4124 Bosenberry Way, Ellenwood, GA 30294 | |
| (678) 463-6568 | |
| (678) 463-6568 |
| Full Name | Ms Kakethia S Mack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4124 Bosenberry Way, Ellenwood, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346748837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN154797 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kakethia S Mack, NURSE PRACTITIONER 4124 Bosenberry Way, Ellenwood, GA 30294-4265 Ph: (678) 463-6568 | Ms Kakethia S Mack, NURSE PRACTITIONER 4124 Bosenberry Way, Ellenwood, GA 30294 Ph: (678) 463-6568 |
Sharalyn Marrion Martin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 Saint Lukes Way, Ellenwood, GA 30294 Phone: 678-520-1616 | |
Jacqueline Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 Summit Heights Ct Ste 120, Ellenwood, GA 30294 Phone: 404-552-5128 | |
Ms. Abosede Haygood, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4639 River Hill Cir, Ellenwood, GA 30294 Phone: 404-259-0967 | |
Ngassa Nchapada Menga Faith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2568 Brittany Park Cv, Ellenwood, GA 30294 Phone: 404-578-5437 | |
Rose Senge Kombe, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 678-289-6747 Fax: 678-289-6750 | |
Mrs. Terrilyn D Lemons, APRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4018 Park Place Cir, Ellenwood, GA 30294 Phone: 404-212-1024 Fax: 404-212-1024 |