Chackonal, Mary Jincy
Chackonal, Mary Jincy is an sole proprietor health care provider with primary practice located at 3100 Club Dr , Lawrenceville GA 30044-2591. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Chackonal, Mary Jincy can be contacted via phone (770) 923-3100.Contact Information
Primary practice address
3100 Club Dr
Lawrenceville GA 30044-2591
Phone: (770) 923-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT008253 | Georgia |
Profile Details
| NPI number | 1124366349 |
|---|---|
| LBN Legal business name | Chackonal, Mary Jincy |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2013 |
| Last updated | Jan 23rd, 2013 - about 13 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.
Popular Providers
-
Powell, Tessa
545 Old Norcross Rd Suite 100, Lawrenceville GA 30046-3389 -
Smith, Elizabeth Anne
4825 Sugarloaf Pkwy Ste C , Lawrenceville GA 30044-8800 -
Mcdonald, Jessica
771 Old Norcross Rd Suite 390, Lawrenceville GA 30046-4386 -
Fadeyi, Chryston
575 Professional Dr , Lawrenceville GA 30046-3333 -
Skyers, Jody
595 Hurricane Shoals Rd Nw Ste 200 , Lawrenceville GA 30046-8762 -
Wilson, Sandra
2899 5 Frks Trickum Rd , Lawrenceville GA 30044-5803 -
Woods, Leah Campbell
455 Philip Blvd Bldg 100-160 , Lawrenceville GA 30046-8768 -
Riveron, Caitlin Catherine
910 Parkside Walk Ln Ste 101 , Lawrenceville GA 30043-7353