SearchGeorgia225700000X

Debra Mack

NPI 1578430757 · on the registry since 2025 · sole proprietor

Practice

Address
1715 Windcliff Dr Se
Marietta, GA 30067
Phone
(770) 873-4405

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia