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Mercymed Of Columbus INC

Family Medicine in Columbus, GA. Organization (NPI-2).

NPI number1124800545
StatusActive
Last updated in NPPESOct 19, 2023

Details

NPI
1124800545
Entity type
Organization (NPI-2)
Legal business name
Mercymed Of Columbus INC
Organization subpart
No
Enumeration date
Oct 19, 2023
Certification date
Oct 19, 2023
Last updated
Oct 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

110 21st St Apt 3101
Columbus, GA 31901-1057

Phone 706-507-9209 · Fax 706-507-9249

Mailing address

3702 2nd Ave
Columbus, GA 31904-7408

Phone 706-507-9209 · Fax 706-507-9209

Authorized official

Tony Nguyen
Chief Operations Officer
7065079209

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