| Chattahoochee Valley Family Medicine Inc | |
|
7413 Whitesville Rd Suite 700 Columbus GA 31904-3227 | |
| (706) 570-5337 | |
| Not Available |
| Full Name | Chattahoochee Valley Family Medicine Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7413 Whitesville Rd, Columbus, Georgia |
| Authorized Official Name and Position | Tania Christine Edwards (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 7065705337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chattahoochee Valley Family Medicine Inc 7413 Whitesville Rd Suite 700 Columbus GA 31904-3227 Ph: (706) 570-5337 | Chattahoochee Valley Family Medicine Inc 7413 Whitesville Rd Suite 700 Columbus GA 31904-3227 Ph: (706) 570-5337 |
| NPI Number | 1396996955 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 10/01/2008 |
| Medicare PECOS PAC ID | 1557422524 |
|---|---|
| Medicare Enrollment ID | O20081209000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396996955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 053465 (Georgia) | Primary |
| Provider Name | Tania C Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598768145 PECOS PAC ID: 5496725913 Enrollment ID: I20040730000308 |
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