| Internal Medicine Of West-central Georgia, P.c. | |
|
700 Center St Suite 204 Columbus GA 31901-1546 | |
| (706) 596-1314 | |
| (706) 596-9225 |
| Full Name | Internal Medicine Of West-central Georgia, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 Center St, Columbus, Georgia |
| Authorized Official Name and Position | Janice Artis Rucker (OFFICE MANAGER) |
| Authorized Official Contact | 7065961314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of West-central Georgia, P.c. 700 Center St Suite 204 Columbus GA 31901-1546 Ph: (706) 596-1314 | Internal Medicine Of West-central Georgia, P.c. 700 Center St Suite 204 Columbus GA 31901-1546 Ph: (706) 596-1314 |
| NPI Number | 1154478733 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0941298319 |
|---|---|
| Medicare Enrollment ID | O20040504001045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154478733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Primary |
| Provider Name | Christopher M Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003814518 PECOS PAC ID: 6800064791 Enrollment ID: I20110720000316 |
| Provider Name | Gregory M Rucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073510905 PECOS PAC ID: 6709044803 Enrollment ID: I20120222000185 |
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