DAVID A THEOBALD

COLUMBUS, GA
NPI1588003859
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  151127)
Enumeration Date2013-06-20
Last Update Date2015-05-06
Business Address
-- DAVID A THEOBALD FNP
610 19TH ST
COLUMBUS, GA 31901-1528
Phone number: 706-322-7884
Mailing Address
-- DAVID A THEOBALD FNP
PO BOX 9247
COLUMBUS, GA 31908-9247
Phone number: 706-322-7884
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