| Acute Care Of South Columbus | |
|
1627 S Lumpkin Rd Suite 6 Columbus GA 31903-2719 | |
| (706) 243-4154 | |
| (706) 243-4154 |
| Full Name | Acute Care Of South Columbus |
|---|---|
| Speciality | Clinic/Center |
| Location | 1627 S Lumpkin Rd, Columbus, Georgia |
| Authorized Official Name and Position | William Brouwer (PRESIDENT/CEO) |
| Authorized Official Contact | 7066606155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acute Care Of South Columbus Po Box 1038 Columbus GA 31902-1038 Ph: (706) 571-1976 | Acute Care Of South Columbus 1627 S Lumpkin Rd Suite 6 Columbus GA 31903-2719 Ph: (706) 243-4154 |
| NPI Number | 1871894246 |
|---|---|
| Provider Enumeration Date | 11/16/2010 |
| Last Update Date | 08/08/2013 |
| Medicare PECOS PAC ID | 2264601277 |
|---|---|
| Medicare Enrollment ID | O20110809000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871894246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | James P Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598752560 PECOS PAC ID: 7416844410 Enrollment ID: I20040303000967 |
| Provider Name | Lisa M Plock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528056660 PECOS PAC ID: 8224094545 Enrollment ID: I20041208000077 |
| Provider Name | Linda Jill Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134116106 PECOS PAC ID: 6103885009 Enrollment ID: I20050419000816 |
| Provider Name | Suzanne M Mcbride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881682144 PECOS PAC ID: 1153350277 Enrollment ID: I20090107000307 |
| Provider Name | Kandra Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104930874 PECOS PAC ID: 1557454899 Enrollment ID: I20110106000949 |
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