Individual
CAROLINA SMITH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 17TH ST STE 407, COLUMBUS, GA 31901-3514
(706) 321-0930
Mailing address
PO BOX 8068, COLUMBUS, GA 31908-8068
(706) 320-5461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007484
GA
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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