MEDICARE: CHRISTINA DENISE COBB SMITH

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	251E00000X	Home Health Agency		GA

General Provider Information

NPI Number	:	1295699296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA DENISE COBB SMITH

Provider Business Mailing Address
First Line	:	4519 WOODRUFF RD STE 4
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6096
Country	:	US
Telephone Number	:	706-326-7794
Fax Number	:

Provider Business Practice Location Address
First Line	:	5287 ETON DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-4222
Country	:	US
Telephone Number	:	706-326-7794
Fax Number	:

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

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/13/2025

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Directions to “ CHRISTINA DENISE COBB SMITH ” Practice Location

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