| Columbus Psr/peer Center | |
|
9067 Veterans Parkway Columbus GA 31901 | |
| (706) 641-9663 | |
| (706) 494-7072 |
| Full Name | Columbus Psr/peer Center |
|---|---|
| Speciality | Social Worker |
| Location | 9067 Veterans Parkway, Columbus, Georgia |
| Authorized Official Name and Position | Kenneth Whiddon (OWNER/CEO) |
| Authorized Official Contact | 9126380350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Psr/peer Center 9067 Veterans Parkway Columbus GA 31901 Ph: (706) 641-9663 | Columbus Psr/peer Center 9067 Veterans Parkway Columbus GA 31901 Ph: (706) 641-9663 |
| NPI Number | 1316195977 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316195977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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