Individual
TOMMY BATTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LRT
Contact information
Practice address
101 POND VIEW, EVANS, GA 30809
(706) 651-0660
Mailing address
101 POND VIEW, EVANS, GA 30809
(706) 651-0660
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
3710
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1963 RCP
SC LICENSE
SC
01
—
3710
GA LICENSE
GA
Enumeration date
09/11/2012
Last updated
09/11/2012
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