| St. Francis Physician Practices LLC | |
|
2300 Manchester Expy Columbus GA 31904-6802 | |
| (706) 320-2766 | |
| (706) 320-2768 |
| Full Name | St. Francis Physician Practices LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2300 Manchester Expy, Columbus, Georgia |
| Authorized Official Name and Position | Johnetta M Traylor (ADMINISTRATOR) |
| Authorized Official Contact | 5025966063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Francis Physician Practices LLC 2300 Manchester Expy Columbus GA 31904-6802 Ph: (706) 320-2766 | St. Francis Physician Practices LLC 2300 Manchester Expy Columbus GA 31904-6802 Ph: (706) 320-2766 |
| NPI Number | 1609655646 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 06/14/2025 |
| Certification Date | 06/14/2025 |
| Medicare PECOS PAC ID | 8729381033 |
|---|---|
| Medicare Enrollment ID | O20250620001204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609655646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | () | Secondary |
| Provider Name | Matthew Earl Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922115492 PECOS PAC ID: 2466558663 Enrollment ID: I20070504000233 |
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