Columbus Ambulatory Healthcare Services, INC.
Family Medicine in Phenix City, AL. Organization (NPI-2).
NPI number1699240531
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1699240531
- Entity type
- Organization (NPI-2)
- Legal business name
- Columbus Ambulatory Healthcare Services, INC.
- Organization subpart
- Yes
- Enumeration date
- Oct 8, 2018
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1810 Stadium Dr Ste 240Phenix City, AL 36867-3179
Phone 334-291-8303 · Fax 334-291-8325
Mailing address
Po Box 117337Atlanta, GA 30368-7337
Phone 770-801-2500 · Fax 470-271-2895
Authorized official
Teirra Walker
Credentialing Specialist
7064944300
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