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

MARY ALICE CAMPBELL, CNA

Active Sole Proprietor

MARY ALICE CAMPBELL, CNA is a Adult Companion healthcare provider located in JEFFERSON, Georgia. NPI 1790408417 is currently active in the NPPES registry. Verify at CMS.

Adult Companion · JEFFERSON, GA

Registration Details

NPI Number
1790408417
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2022 (3.8595410594533 yrs)
Last Updated
Sep 20, 2022
License
CN0030054372 (GA)
Sole Proprietor
Yes

Practice Information

Address
875 HIGHWAY 82 S
JEFFERSON, GA, 305495779
Browse GA providers · Browse ZIP 30549
Phone
7063519835
Primary Specialty
Adult Companion
372600000X
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.