Columbus Memory Center, PC
Psychiatry & Neurology, Neurology in Columbus, GA. Organization (NPI-2).
NPI number1083171607
StatusActive
Last updated in NPPESJul 16, 2024
Details
- NPI
- 1083171607
- Entity type
- Organization (NPI-2)
- Legal business name
- Columbus Memory Center, PC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2019
- Certification date
- Jul 16, 2024
- Last updated
- Jul 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
| 261QR0208X | Clinic/Center, Radiology, Mobile | – | – |
Practice location
7196 N Lake DrColumbus, GA 31909-1693
Phone 706-327-4000 · Fax 706-324-2557
Mailing address
7196 N Lake DrColumbus, GA 31909-1693
Phone 706-327-4000 · Fax 706-324-2557
Authorized official
Jonathan Leonard Liss
President
7063274000
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