138 MED
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1134635105- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 30 LAKERIDGE CT, COLUMBUS, GA, 319041800
- Phone
- (706) 562-8088
Specialties & Taxonomies
Family Medicine
Primary