Montavious T McKenzie
Montavious T McKenzie is a Student in an Organized Health Care Education/Training Program in Moultrie, Georgia. Licensed in Georgia. Registered with an NPI since 2022.
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
1 Magnolia CtMoultrie, GA 31768-6764
Phone: (229) 502-9753
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 1 (GA) |
|---|
Record details
| NPI number | 1760126643 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 26, 2022 |
| Last updated in NPPES | April 26, 2022 |
| Certification date | April 26, 2022 |
| Mailing address | 1 Magnolia Ct, Moultrie, GA 31768-6764 |
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