in Columbus - Primary Care

- NPI 1194875146

is a Primary Care in Columbus, Georgia. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for is 1194875146. The last update date is .

's current location address is 5363 Veterans Pkwy, Columbus, Georgia. You can contact this provider via phone number 7065075441 and fax number 7065075460. The mailing address for is 5363 Veterans Pkwy, Columbus, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 5363 Veterans Pkwy, Columbus, Georgia
Phone Number 7065075441
Fax Number 7065075460
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1194875146
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 5363 Veterans Pkwy
City Columbus
State Georgia (GA)
Post Code 319044423
Phone Number 7065075441
Fax Number 7065075460

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 363Lp2300X
Licence No RN140924
Definition:
An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00000019F GA --

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