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MACKY ENTERPRISES PC NPI 1821323072


NPI Information

NPI: 1821323072
Provider Name: MACKY ENTERPRISES PC

Doing Business As: PEACHTREE CHILDRENS CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
5380 PEACHTREE INDUSTRIAL BLVD
140
NORCROSS, GA
ZIP 30071
Phone: (770) 446-1818
Get Directions

MACKY ENTERPRISES PC is a pediatrics in Norcross, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MACKY ENTERPRISES PC NPI is 1821323072. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peachtree Childrens Clinic.

The provider's business location address is:

5380 PEACHTREE INDUSTRIAL BLVD
140
NORCROSS, GA
ZIP 30071-713
Phone: (770) 446-1818
Fax: (770) 446-1808

The provider's authorized official is Shellon Mcallister-brooks .
The authorized official title is Owner and has the following contact phone number (770) 446-1818.

The enumeration date for this NPI number is 10/6/2009 and was last updated on 2/23/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics061299GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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