person
Gerald Mabongale Makobong
Psychiatric/Mental Health Nurse Practitioner in Columbus, Ohio
NPI 1134797657

Gerald Mabongale Makobong is a Psychiatric/Mental Health Nurse Practitioner based in Columbus, OH and is specialized in Psychiatric/Mental Health. Gerald Mabongale Makobong practices in Columbus, OH. The NPI Number for Gerald Mabongale Makobong is 1134797657 and holds a License No. LE-00032501 (Ohio).

The current practice location address for Gerald Mabongale Makobong is 410 W 10Th Ave, Columbus, OH and can be reached out via phone at 614-293-8000.

Location: 410 W 10Th Ave, Columbus, OH, 43210-1240
person
Provider Profile Details
NPI Number
1134797657
Provider Name
Gerald Mabongale Makobong
Credential
Provider Entity Type
Individual
Gender
Male
Address
410 W 10Th Ave, Columbus, OH, 43210-1240
Phone Number
614-293-8000
Fax Number
Provider Enumeration Date
06/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
410 W 10Th Ave
City
State
Zip
43210-1240
Phone Number
614-293-8000
Fax Number
person
Provider Business Mailing Address Details
Address
410 W 10Th Ave
City
State
Zip
43210-1240
Phone Number
614-293-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
LE-00032501 (Ohio)
Definition
Definition to come...
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