| Advanced Health Care & Injury Center, Llc | |
|
2205 Rosemont Dr Columbus GA 31904-7368 | |
| (706) 565-9447 | |
| (706) 565-5013 |
| Full Name | Advanced Health Care & Injury Center, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2205 Rosemont Dr, Columbus, Georgia |
| Authorized Official Name and Position | Marcus B Edwards (EMPLOYEE) |
| Authorized Official Contact | 7065659447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Health Care & Injury Center, Llc 2205 Rosemont Dr Columbus GA 31904-7368 Ph: (706) 565-9447 | Advanced Health Care & Injury Center, Llc 2205 Rosemont Dr Columbus GA 31904-7368 Ph: (706) 565-9447 |
| NPI Number | 1093332819 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 06/26/2020 |
| Medicare PECOS PAC ID | 2365860590 |
|---|---|
| Medicare Enrollment ID | O20200918002554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093332819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Marcus B Edwards |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700908340 PECOS PAC ID: 5890850044 Enrollment ID: I20090223000266 |
| Provider Name | Michael S Coulthard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700172707 PECOS PAC ID: 0749416121 Enrollment ID: I20140905000551 |
| Provider Name | Kelly Christopher Mccants |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689723280 PECOS PAC ID: 4789663840 Enrollment ID: I20141106000607 |
| Provider Name | Melanie Coyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962926279 PECOS PAC ID: 1153689518 Enrollment ID: I20171213001696 |
| Provider Name | Sabrina Noah Sheets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063954097 PECOS PAC ID: 1456632603 Enrollment ID: I20180109000636 |
| Provider Name | Chatora C Tolbert Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093225179 PECOS PAC ID: 1850651126 Enrollment ID: I20180206000171 |
| Provider Name | Brittany N Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184140147 PECOS PAC ID: 6002171741 Enrollment ID: I20180529002919 |
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