Mckenney, Octavia Elayne
Mckenney, Octavia Elayne is an sole proprietor health care provider with primary practice located at 3577 Main Station Dr Sw , Marietta GA 30008-6054. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Mckenney, Octavia Elayne can be contacted via phone (678) 869-1250.Contact Information
Primary practice address
3577 Main Station Dr Sw
Marietta GA 30008-6054
Phone: (678) 869-1250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT011404 | Georgia |
Profile Details
| NPI number | 1811529225 |
|---|---|
| LBN Legal business name | Mckenney, Octavia Elayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2020 |
| Last updated | Feb 4th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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