| Rivercity Rehabilitation And Spine Specialists, P.c. | |
|
2300 13th St Suite A Columbus GA 31906-2596 | |
| (706) 243-7010 | |
| (706) 243-7019 |
| Full Name | Rivercity Rehabilitation And Spine Specialists, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2300 13th St, Columbus, Georgia |
| Authorized Official Name and Position | Gary N Dawson (DOCTOR) |
| Authorized Official Contact | 7062437010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivercity Rehabilitation And Spine Specialists, P.c. 2300 13th St Suite A Columbus GA 31906-2596 Ph: (706) 243-7010 | Rivercity Rehabilitation And Spine Specialists, P.c. 2300 13th St Suite A Columbus GA 31906-2596 Ph: (706) 243-7010 |
| NPI Number | 1538177290 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 06/17/2010 |
| Medicare PECOS PAC ID | 8426030545 |
|---|---|
| Medicare Enrollment ID | O20040603000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538177290 | NPI | - | NPPES |
| 729703640A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | 053857 (Georgia) | Primary |
| Provider Name | Gary N Dawson |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1841371499 PECOS PAC ID: 3870575905 Enrollment ID: I20040604000020 |
| Provider Name | Marzena Malgorzata Buzanowska |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043502651 PECOS PAC ID: 6406177963 Enrollment ID: I20200813002997 |
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