LIFE CHANGING MISSIONARY BAPTIST NPI 1104260462

NPI Information

  • NPI: 1104260462
  • Provider Name: LIFE CHANGING MISSIONARY BAPTIST
  • Classification: Voluntary or Charitable - 251V00000X
  • Entity Type: Organization
  • Address: 4605 LANGDON ST
    COLUMBUS, GA
    ZIP 31907
  • Phone: (706) 575-6090

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NPI Details

LIFE CHANGING MISSIONARY BAPTIST is a voluntary or charitable in Columbus, GA. LIFE CHANGING MISSIONARY BAPTIST NPI is 1104260462. The provider is registered as an organization entity type.

The provider's business location address is:

4605 LANGDON ST
COLUMBUS, GA
ZIP 31907-050
Phone: (706) 575-6090
Fax: (706) 324-3577

The provider's authorized official is Tony A Banks .
The authorized official title is Bishop/pastor and has the following contact phone number (706) 575-6090.

The enumeration date for this NPI number is 4/17/2013 and was last updated on 4/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251V00000XVoluntary or CharitableYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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