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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MYKEELA HACKETT

Active Sole Proprietor

MYKEELA HACKETT is a Bus healthcare provider located in ELLENWOOD, Georgia. NPI 1033800123 is currently active in the NPPES registry. Verify at CMS.

Bus · ELLENWOOD, GA

Registration Details

NPI Number
1033800123
Provider Type
Individual
Gender
Female
NPI Issued
May 18, 2023 (3.2282819405904 yrs)
Last Updated
Jul 10, 2023
License
1246451 (GA)
Sole Proprietor
Yes

Practice Information

Address
2668 WARD LAKE RD
ELLENWOOD, GA, 302941738
Browse GA providers · Browse ZIP 30294
Phone
6782517560
Primary Specialty
Bus
343900000X

Other Bus Providers in ELLENWOOD, GA

Name Credential NPI
RAYNAMOS SIMPSON 1770060543
MARQUIS GARNER 1619732740
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.