MONTAVIOUS MCKENZIE

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1760126643

Practice Address

1 MAGNOLIA CT
Moultrie, GA 31768

Phone: (229) 502-9753

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes 1 (GA)

Frequently Asked Questions

NPI 1760126643 is the National Provider Identifier for MONTAVIOUS MCKENZIE, a Student in an Organized Health Care Education/Training Program provider located in Moultrie, GA. This NPI was enumerated on April 26, 2022.
MONTAVIOUS MCKENZIE practices at 1 MAGNOLIA CT, Moultrie, GA 31768.

Quick Facts

NPI
1760126643
Type
Individual
Enumerated
Apr 26, 2022
Last Updated
Apr 26, 2022

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