Organization
LIFE CHANGING MISSIONARY BAPTIST
Active
Parent organization
LIFE CHANGING MISSIONARY BAPTIST
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE CHANGING MISSIONARY BAPTIST
Authorized official
MR. TONY A BANKS MS (BISHOP/PASTOR)
(706) 575-6090
Entity
Organization
Contact information
Practice address
4605 LANGDON ST, COLUMBUS, GA 31907-4050
(706) 575-6090
(706) 324-3577
Mailing address
4605 LANGDON ST, COLUMBUS, GA 31907-4050
(706) 575-6090
(706) 324-3577
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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