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4225 University Ave Tucker Hall Columbus GA 31907-5679 | |
| (706) 507-8620 | |
| (706) 568-2039 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 4225 University Ave, Columbus, Georgia |
| Authorized Official Name and Position | Becky Tew (DIRECTOR, HEALTH SVC) |
| Authorized Official Contact | 7065078260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 671205 Dallas TX 75267-1205 Ph: (866) 890-6390 | 4225 University Ave Tucker Hall Columbus GA 31907-5679 Ph: (706) 507-8620 |
| NPI Number | 1528363066 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 01/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528363066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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