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Chaniya Trenise McCloggan

Community Health Worker in Columbus, GA. Individual provider (NPI-1).

NPI number1164058335
StatusActive
Last updated in NPPESMar 19, 2020

Details

NPI
1164058335
Entity type
Individual (NPI-1)
Name
Chaniya Trenise McCloggan
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 19, 2020
Certification date
Mar 19, 2020
Last updated
Mar 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

4067 Steam Mill Rd
Columbus, GA 31907-4819

Phone 762-821-3112

Mailing address

4067 Steam Mill Rd
Columbus, GA 31907-4819

Phone 762-821-3112

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