| |
806 Jackson St Columbus IN 47201-6264 | |
(812) 377-6020 | |
(812) 377-6024 |
Full Name | |
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Speciality | Clinic/center |
Location | 806 Jackson St, Columbus, Indiana |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Brentwood TN 37027-4948 Ph: (877) 865-9001 | 806 Jackson St Columbus IN 47201-6264 Ph: (812) 377-6020 |
NPI Number | 1467648907 |
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Provider Enumeration Date | 09/19/2007 |
Last Update Date | 08/25/2022 |
Identifier | Type | State | Issuer |
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1467648907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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