Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANUEL CARL MCKENZIE III
Active Sole ProprietorMANUEL CARL MCKENZIE III is a Assisted Living Facility healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1356984041 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · STONE MOUNTAIN, GA
Registration Details
- NPI Number
- 1356984041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2019 (6.8294601610012 yrs)
- Last Updated
- Oct 24, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
4893 CANDLEWOOD LNSTONE MOUNTAIN, GA, 300881605Browse GA providers · Browse ZIP 30088
- Phone
- 7708961977
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
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.