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Montavious T Mckenzie
Student in an Organized Health Care Education/Training Program in Moultrie, Georgia
NPI 1760126643

Montavious T Mckenzie is a Student in an Organized Health Care Education/Training Program based in Moultrie, GA. Montavious T Mckenzie practices in Moultrie, GA. The NPI Number for Montavious T Mckenzie is 1760126643 and holds a License No. 1 (Georgia).

The current practice location address for Montavious T Mckenzie is 1 Magnolia Ct, Moultrie, GA and can be reached out via phone at 229-502-9753.

Location: 1 Magnolia Ct, Moultrie, GA, 31768-6764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760126643
Provider Name
Montavious T Mckenzie
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Magnolia Ct, Moultrie, GA, 31768-6764
Phone Number
229-502-9753
Fax Number
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Magnolia Ct
City
Moultrie
State
Georgia
Zip
31768-6764
Phone Number
229-502-9753
Fax Number
person
Provider Business Mailing Address Details
Address
1 Magnolia Ct
City
Moultrie
State
Georgia
Zip
31768-6764
Phone Number
229-502-9753
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1 (Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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