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Courtney Muckle
NPI 1659997088 · on the registry since 2020
Practice
- Address
- 296 Merchants Sq
Dallas, GA 30132 - Phone
- (470) 391-2300
- Fax
- (470) 592-6581
- Organisation at this address
- Bluesprig Pediatrics
Florida Autism Center
Cardiac Disease Specialists, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 79
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106E00000X
106S00000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-17
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