Individual provider · Type 1 NPI

Terry Mack

Registered Nurse · Lawrenceville, GA

NPI number 1114563046 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Mailing address

2303 Tree Summit Pkwy
Duluth, GA 30096-7926

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X9478449 (FL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1114563046

Terry Mack's National Provider Identifier is 1114563046, issued on Nov 26, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 26, 2019.