MEDICARE: B & O SERVICES, INCORPORATED

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	305R00000X	Preferred Provider Organization	70948	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710209721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B & O SERVICES, INCORPORATED

Provider Business Mailing Address
First Line	:	4814 ATTERBURY DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-5065
Country	:	US
Telephone Number	:	706-984-1962
Fax Number	:

Provider Business Practice Location Address
First Line	:	4814 ATTERBURY DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-5065
Country	:	US
Telephone Number	:	706-984-1962
Fax Number	:

Authorized Official
Title or Position	:	CEO, B&O SEVICES, INC. PCH
Name	:	DR. JOANN THOMAS BROWN
Credential	:	ED.D
Telephone Number	:	706-984-1962

Provider Enumeration Date	:	02/17/2010
Last Update Date	:	02/17/2010

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Directions to “B & O SERVICES, INCORPORATED ” Practice Location

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