Whalio Doctors

NPI 1104260462

Life Changing Missionary Baptist

Organisation Voluntary or Charitable Agency Columbus, GA

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
Agencies Taxonomy 251V00000X

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.