| Restor Metabolix Of Columbus | |
|
1005 Talbotton Rd Ste B Columbus GA 31904-8763 | |
| (706) 580-7871 | |
| Not Available |
| Full Name | Restor Metabolix Of Columbus |
|---|---|
| Speciality | Clinic/Center |
| Location | 1005 Talbotton Rd Ste B, Columbus, Georgia |
| Authorized Official Name and Position | Pamela Melissa Hood (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 9125902184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restor Metabolix Of Columbus Po Box 2102 Carrollton GA 30112-0039 Ph: () - | Restor Metabolix Of Columbus 1005 Talbotton Rd Ste B Columbus GA 31904-8763 Ph: (706) 580-7871 |
| NPI Number | 1154036929 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 02/27/2023 |
| Medicare PECOS PAC ID | 8527424134 |
|---|---|
| Medicare Enrollment ID | O20230523002245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154036929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ricardo Alvarez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417078031 PECOS PAC ID: 1759367436 Enrollment ID: I20080115000446 |
| Provider Name | Randall Crawford Jr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740678739 PECOS PAC ID: 6901124858 Enrollment ID: I20150406001498 |
| Provider Name | Courtney Lofton Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043874050 PECOS PAC ID: 4981937927 Enrollment ID: I20190606002535 |
| Provider Name | Emily Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023745973 PECOS PAC ID: 6800256058 Enrollment ID: I20230719001728 |
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