Premier Family Medicine & Urgent Care Clinic INC.
Clinic/Center, Primary Care in Columbus, GA. Organization (NPI-2).
NPI number1104178409
StatusActive
Last updated in NPPESOct 10, 2012
Details
- NPI
- 1104178409
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Family Medicine & Urgent Care Clinic INC.
- Organization subpart
- No
- Enumeration date
- Oct 10, 2012
- Last updated
- Oct 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 63508 | GA | Yes |
Practice location
1315 Delauney Ave201 A
Columbus, GA 31901-2367
Phone 706-507-3747 · Fax 706-507-3638
Mailing address
1315 Delauney Ave201a
Columbus, GA 31901-2367
Phone 706-507-3747 · Fax 706-507-3638
Authorized official
Megbewe Godpower Okoroba
Ceo
6465287117
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