Columbus Primary Care Internal Medicine Pc

NPI 1063566909 - Internal Medicine - 207R00000X

NPI Details
NPI 1063566909
Enumeration Date 01/22/2007
Last Updated 05/11/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EDET O EDET
Position CEO PRESIDENT
Phone (706) 660-8825
Fax (706) 660-8897
Practice Location
1041 TALBOTTON RD
COLUMBUS GA, 31904-8745, US
Phone (706) 660-8825
Fax (706) 660-8897
Business Location
PO BOX 2746
COLUMBUS GA, 31902-2746, US
Phone (706) 660-8825
Fax (706) 660-8897
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 044408
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According to our database, Columbus Primary Care Internal Medicine Pc NPI is 1063566909, taxonomy code is 207R00000X and license number is 044408, license state is located at Georgia. Columbus Primary Care Internal Medicine Pc physically located at 1041 Talbotton Rd, Columbus GA, 31904-8745. NPI Number 1033115704 has the healthcare provider type.

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1063566909 NPI number is provided on an as is basis without warranty of any kind. 1063566909 is maintained by the National Plan & Provider Enumeration System. The contents of Columbus Primary Care Internal Medicine Pc are for informational purposes only.