Individual
GEORGE S MACKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
524 KEAWE ST # 521, HONOLULU, HI 96813-3101
(808) 777-9460
(808) 217-9174
Mailing address
12034 BIG CANOE, BIG CANOE, GA 30143-5154
(808) 777-9460
(808) 217-9174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN-2714
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-2714
HI
Other
Enumeration date
07/05/2011
Last updated
05/18/2023
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