person
David A Theobald, FNP
Family Nurse Practitioner in Columbus, Georgia
NPI 1588003859

David A Theobald is a Family Nurse Practitioner based in Columbus, GA and is specialized in Family. David A Theobald practices in Columbus, GA and has the professional credentials of FNP. The NPI Number for David A Theobald is 1588003859 and holds a License No. 151127 (Georgia).

The current practice location address for David A Theobald is 610 19Th St, Columbus, GA and can be reached out via phone at 706-322-7884 and via fax at 706-243-4356.

Location: 610 19Th St, Columbus, GA, 31908-9247
person
Provider Profile Details
NPI Number
1588003859
Provider Name
David A Theobald
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
610 19Th St, Columbus, GA, 31908-9247
Phone Number
706-322-7884
Fax Number
706-243-4356
Provider Enumeration Date
06/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003136829C 05 GA
institution
Provider Business Practice Location Address Details
Address
610 19Th St
City
State
Zip
31901-1528
Phone Number
706-322-7884
Fax Number
706-243-4356
person
Provider Business Mailing Address Details
Address
610 19Th St
City
State
Zip
31901-1528
Phone Number
706-322-7884
Fax Number
706-243-4356
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
151127 (Georgia)
Definition
Definition to come...
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