Individual
MRS. TANIKA TOWNSON-SMITH COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4225 UNIVERSITY AVE, COLUMBUS, GA 31907-5645
(256) 506-3998
Mailing address
4225 UNIVERSITY AVE, COLUMBUS, GA 31907-5679
(256) 506-3998
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003253
GA
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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