| Columbus Oral & Maxillofacial Surgery Pc | |
|
4405 N Stadium Dr Suite A Columbus GA 31909-1878 | |
| (706) 507-0901 | |
| (706) 507-0984 |
| Full Name | Columbus Oral & Maxillofacial Surgery Pc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 4405 N Stadium Dr, Columbus, Georgia |
| Authorized Official Name and Position | John R Scuba (OWNER) |
| Authorized Official Contact | 7065070901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Oral & Maxillofacial Surgery Pc 4405 N Stadium Dr Suite A Columbus GA 31909-1875 Ph: (706) 507-0901 | Columbus Oral & Maxillofacial Surgery Pc 4405 N Stadium Dr Suite A Columbus GA 31909-1878 Ph: (706) 507-0901 |
| NPI Number | 1003023870 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003023870 | NPI | - | NPPES |
| IP09476001 | Other | GA | BCBS OF GA (M) GROUP |
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