Organization · NPI-2
Phenix City Pulmonary & Critical Care, P.C.
Internal Medicine, Pulmonary Disease · Phenix City, AL
NPI number1619167350
StatusActive
Last updated in NPPESJan 28, 2012
Details
- NPI
- 1619167350
- Entity type
- Organization (NPI-2)
- Legal business name
- Phenix City Pulmonary & Critical Care, P.C.
- Organization subpart
- No
- Enumeration date
- Jul 30, 2007
- Last updated
- Jan 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 059999 | GA | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 28220 | AL | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 28220 | AL | |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 059999 | GA |
Practice location
5009 River Chase DrBldg 600 Ste A
Phenix City, AL 36867-7425
Phone 334-291-1288 · Fax 334-291-1290
Mailing address
Po Box 2585Columbus, GA 31902-2585
Phone 334-291-1288 · Fax 334-291-1290
Authorized official
Syed M. Mahmood
Owner
3342911288
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