NPI 1144960576

Makeba Shantey Maddox

Practitioner Case Management Agency Columbus, GA

Practice location

Address: 950 Watson Dr, Columbus, GA 31907-4146
Phone: (706) 393-8796

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1144960576
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2022
Record last updated: 1 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.