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Search › Georgia › 183500000X

Mychal Outlaw

NPI 1811593668 · on the registry since 2020

Practice

Address
3401 Northside Pkwy Nw
Atlanta, GA 30327
Phone
(404) 261-7123
Organisation at this address
King & Mccune Orthodontics, Llc
King, Mccune, And Moore Orthodontics, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-08

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