Individual
BOBBY HOLCUMB III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Mailing address
3708 NORTHSIDE DR, MACON, GA 31210-2404
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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