Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TISA MACKLIN
ActiveSpecialist/Technologist, Other · MARIETTA, GA
Registration Details
- NPI Number
- 1184227993
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2020 (5.4310225996554 yrs)
- Last Updated
- Feb 4, 2025
Practice Information
- Address
-
2627 SANDY PLAINS RD STE 201MARIETTA, GA, 300664289Browse GA providers · Browse ZIP 30066
- Phone
- 4709091046
- Primary Specialty
-
Specialist/Technologist, Other
246Y00000X
- Additional Specialty
- Specialist/Technologist, Other
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.