Individual
MAKESHA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 N WESTOVER BLVD APT 1034, ALBANY, GA 31707-1930
(229) 869-4467
Mailing address
509 N WESTOVER BLVD APT 1034, ALBANY, GA 31707-1930
(229) 869-4467
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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