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Mackenzie Pass
NPI 1710513304 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2651 Dallas Hwy Sw
Marietta, GA 30064 - Phone
- (678) 486-1904
- Organisation at this address
- Hopebridge, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 136
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
- Licence states on file
- GA, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-04
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