NPI 1104260462
Life Changing Missionary Baptist
Practice location
- Address
- 4605 Langdon St, Columbus, GA 31907-4050
- Phone
- (706) 575-6090
- Fax
- (706) 324-3577
Authorised official
- Name
- Tony a Banks
- Title
- Bishop/Pastor
- Phone
- (706) 575-6090
Registered specialties
Voluntary or Charitable Agency
Primary
Registry record
- NPI
- 1104260462
- Entity type
- Organization
- NPI issued
- 17 Apr 2013
- Record last updated
- 17 Apr 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.