IndividualActive
Addie Campbell-Mungen
NPI 1629926225 · Contractor · Baconton, GA
Provider details
- NPI number
- 1629926225
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- MSW012852 (GA)
Specialties & taxonomies
Other Service Providers
Practice location
9237 US Highway 19
Baconton, GA 31716-7441
Phone: (448) 488-6758
Approximate (ZIP-level) locationGet directions
Mailing address
9237 US Highway 19
Baconton, GA 31716-7441
Registry dates
- Enumerated
- 2026-03-19
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.