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Contact Information

WILL M PROTHRO
1215 2ND AVE
COLUMBUS, GA31901-5244
 Phone: 706-324-4061
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for WILL M PROTHRO · (Male)

NPI Number 1720643448
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2019
Last updated 05/16/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 58-2108870
  • GA Medicaid 58-2108870
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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