Individual
MRS. CATHY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3716 GENTIAN BLVD, COLUMBUS, GA 31907-1291
(706) 584-4048
Mailing address
3716 GENTIAN BLVD, COLUMBUS, GA 31907-1291
(706) 584-4048
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
OCC000829-05-2021
GA
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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