Individual provider · Type 1 NPI

Montavious T. McKenzie

Student in an Organized Health Care Education/Training Program · Moultrie, GA

NPI number 1760126643 Active

Practice location

1 Magnolia Ct
Moultrie, GA 31768-6764

Call (229) 502-9753 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X1 (GA)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1760126643

Montavious T. McKenzie's National Provider Identifier is 1760126643, issued on Apr 26, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moultrie, GA. The record was last updated on Apr 26, 2022.