Individual provider · Type 1 NPI
Vicky Mack, NP
Adult Health Nurse Practitioner · Orchard Hill, GA
NPI number
1134592033
Active
Practice location
694 Etheridge Mill Road
Orchard Hill, GA 30266-0072
Mailing address
PO Box 72
Orchard Hill, GA 30266-0072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN066536 (GA) |
| Gerontology Nurse Practitioner | 363LG0600X | RN066536 (GA) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1134592033
Vicky Mack, NP's National Provider Identifier is 1134592033, issued on Nov 2, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Orchard Hill, GA. The record was last updated on Nov 2, 2015.