Individual provider · Type 1 NPI

Addie Campbell-Mungen

Contractor · Baconton, GA

NPI number 1629926225 Active

Practice location

9237 US Highway 19
Baconton, GA 31716-7441

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XMSW012852 (GA)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1629926225

Addie Campbell-Mungen's National Provider Identifier is 1629926225, issued on Mar 19, 2026. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Baconton, GA. The record was last updated on Mar 19, 2026.