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4225 University Ave Athletics Lumpkin Center Rm 124 Columbus GA 31907-5679 | |
| (706) 565-4332 | |
| (706) 569-3435 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 4225 University Ave, Columbus, Georgia |
| Authorized Official Name and Position | J Thomas Helton (VP BUSINESS & FINANCE) |
| Authorized Official Contact | 7065078900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4225 University Ave Athletics Lumpkin Center Rm 124 Columbus GA 31907-5679 Ph: (706) 565-4332 | 4225 University Ave Athletics Lumpkin Center Rm 124 Columbus GA 31907-5679 Ph: (706) 565-4332 |
| NPI Number | 1811324296 |
|---|---|
| Provider Enumeration Date | 10/01/2013 |
| Last Update Date | 10/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811324296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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