| Internal Medicine Clinic Of Columbus Llc | |
|
515 Willowbrook Rd Suite 1 Columbus MS 39705-2016 | |
| (662) 327-1963 | |
| (662) 327-3185 |
| Full Name | Internal Medicine Clinic Of Columbus Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 515 Willowbrook Rd, Columbus, Mississippi |
| Authorized Official Name and Position | Linda Lindsey (OWNER) |
| Authorized Official Contact | 6623271963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Clinic Of Columbus Llc 515 Willowbrook Rd Suite 1 Columbus MS 39705-2016 Ph: (662) 327-1963 | Internal Medicine Clinic Of Columbus Llc 515 Willowbrook Rd Suite 1 Columbus MS 39705-2016 Ph: (662) 327-1963 |
| NPI Number | 1538272075 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538272075 | NPI | - | NPPES |
| 04771821 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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