| Careatc-city Of Columbus-14249-065 | |
|
2000 10th Ave Ste 410 Columbus GA 31901-3714 | |
| (706) 653-4616 | |
| Not Available |
| Full Name | Careatc-city Of Columbus-14249-065 |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2000 10th Ave Ste 410, Columbus, Georgia |
| Authorized Official Name and Position | Keith Gucwa (DIR. OF PURCHASING AND FACILITIES) |
| Authorized Official Contact | 9187797416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Careatc-city Of Columbus-14249-065 2000 10th Ave Ste 410 Columbus GA 31901-3714 Ph: () - | Careatc-city Of Columbus-14249-065 2000 10th Ave Ste 410 Columbus GA 31901-3714 Ph: (706) 653-4616 |
| NPI Number | 1467906701 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467906701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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