MEDICARE: MR. TROY DARBY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver	051121728	GA

General Provider Information

NPI Number	:	1073352563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TROY DARBY

Provider Business Mailing Address
First Line	:	6119 CARIBOU DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-2937
Country	:	US
Telephone Number	:	315-399-6685
Fax Number	:

Provider Business Practice Location Address
First Line	:	6119 CARIBOU DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-2937
Country	:	US
Telephone Number	:	315-399-6685
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2024
Last Update Date	:	05/23/2024

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Directions to “ MR. TROY DARBY ” Practice Location

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