Healthcare Provider Details

I. General information

NPI: 1649149139
Provider Name (Legal Business Name): SBM CONSULTING 2, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 PARTRIDGE DR
ALBANY GA
31707-3044
US

IV. Provider business mailing address

718 PARTRIDGE DR
ALBANY GA
31707-3044
US

V. Phone/Fax

Practice location:
  • Phone: 229-886-2204
  • Fax: 229-212-7622
Mailing address:
  • Phone: 229-886-2204
  • Fax: 229-212-7622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: SHELIA MACK
Title or Position: PRACTICE MANAGER
Credential:
Phone: 229-886-2204