IndividualActive
Brian Willis
NPI 1336568336 · Developmentally Disabled Services Day Training Agency · Columbus, GA
Provider details
- NPI number
- 1336568336
- Entity type
- Individual
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
506 Manchester Expy Ste a
Columbus, GA 31904-6444
Phone: (706) 653-9343
Fax: (706) 653-9242
Approximate (ZIP-level) locationGet directions
Mailing address
2828 9th St
Columbus, GA 31906-3206
Registry dates
- Enumerated
- 2014-04-08
- Last updated
- 2014-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.