NPI 1528509635

Timothy Smith, CO

Practitioner Prevention Professional Columbus, GA

Practice location

Address: 5510 Veterans Pkwy, Columbus, GA 31904-4491
Phone: (706) 323-3461
Fax: (706) 324-3414

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 4025 (GA)

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Registry record

NPI: 1528509635
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2017
Record last updated: 9 Mar 2017

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.