NPI 1629926225

Addie Campbell-Mungen

Practitioner Contractor Baconton, GA

Practice location

Address: 9237 US Highway 19, Baconton, GA 31716-7441
Phone: (448) 488-6758

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MSW012852 (GA)

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Registry record

NPI: 1629926225
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2026
Record last updated: 19 Mar 2026

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.