| Bump Cancer | |
|
233 12th St Columbus GA 31901-2462 | |
| (706) 358-7958 | |
| Not Available |
| Full Name | Bump Cancer |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 233 12th St, Columbus, Georgia |
| Authorized Official Name and Position | Wyllie V Mcgruder (OWNER/DIRECTOR) |
| Authorized Official Contact | 7063587958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bump Cancer 233 12th St Columbus GA 31901-2462 Ph: (706) 358-7958 | Bump Cancer 233 12th St Columbus GA 31901-2462 Ph: (706) 358-7958 |
| NPI Number | 1295211167 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 07/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295211167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC010144 (Georgia) | Primary |
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