Organization · NPI-2

138 Med

Family Medicine · Columbus, GA

NPI number1134635105
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1134635105
Entity type
Organization (NPI-2)
Legal business name
138 Med
Organization subpart
No
Enumeration date
Dec 28, 2017
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

30 Lakeridge Ct
Columbus, GA 31904-1800

Phone 706-562-8088

Mailing address

30 Lakeridge Ct
Columbus, GA 31904-1800

Phone 706-562-8088

Other practice locations

800 Talbotton Rd
Columbus, GA 31904-8946

Phone 706-321-0495

Authorized official

Hafsa Aziz Bhatti
Owner/Employee
7062897952

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