| Columbus Family Medicine, Llc | |
|
2827 Warm Springs Rd 3b Columbus GA 31904-5246 | |
| (706) 324-4177 | |
| (706) 322-9637 |
| Full Name | Columbus Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2827 Warm Springs Rd, Columbus, Georgia |
| Authorized Official Name and Position | Glenn E Fussell (MANAGING PARTNER) |
| Authorized Official Contact | 7063244177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Family Medicine, Llc 2827 Warm Springs Rd 3b Columbus GA 31904-5246 Ph: (706) 324-4177 | Columbus Family Medicine, Llc 2827 Warm Springs Rd 3b Columbus GA 31904-5246 Ph: (706) 324-4177 |
| NPI Number | 1639619737 |
|---|---|
| Provider Enumeration Date | 03/08/2017 |
| Last Update Date | 01/15/2018 |
| Medicare PECOS PAC ID | 4486912284 |
|---|---|
| Medicare Enrollment ID | O20180122002686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639619737 | NPI | - | NPPES |
| 000330063C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Glenn E Fussell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861509184 PECOS PAC ID: 3577646777 Enrollment ID: I20080222000098 |
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