Individual
NATHANIEL THREATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5589
(706) 596-5583
Mailing address
74 HAMILTON ST, APT. 2, RICHLAND, GA 31825-6030
(229) 321-9765
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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