Individual
MR. BOBBY G LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2122 MANCHESTER EXPRESSWAY, COLUMBUS, GA 31904
(706) 320-2773
(706) 596-4226
Mailing address
PO BOX 8147, COLUMBUS, GA 31908-8147
(706) 320-2773
(706) 596-4226
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1066794
AL
363LA2200X
Adult Health Nurse Practitioner
1066794
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
RN109950
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104894C
—
GA
05
—
159805
—
AL
Enumeration date
06/28/2006
Last updated
07/30/2015
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