Individual
MS. MARY BELLE TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9972 BOND AVE, SAVANNAH, GA 31406-8582
(912) 354-4604
(912) 354-1439
Mailing address
9972 BOND AVE, SAVANNAH, GA 31406-8582
(912) 354-4604
(912) 354-1439
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00879469A
—
GA
Enumeration date
04/10/2007
Last updated
07/09/2007
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