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COMPREHENSIVE CONTINGENCY TASK FORCE

Organization (NPI-2) Active

Nurse Practitioner

Provider Information

NPI Number
1700124682
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
3649 VICTORY DR, COLUMBUS, GA, 319034553
Phone
(706) 221-5025

Specialties & Taxonomies

Nurse Practitioner Primary

All Addresses

MAILING

502 W CENTER CROSS ST

EDINBURGH, IN, 461249701

(812) 526-4070

LOCATION

3649 VICTORY DR

COLUMBUS, GA, 319034553

(706) 221-5025