| John A. Declue, D. O., P. C. | |
|
2024 6th Ave Columbus GA 31904-8911 | |
| (706) 317-2170 | |
| (706) 317-2173 |
| Full Name | John A. Declue, D. O., P. C. |
|---|---|
| Speciality | Family Medicine |
| Location | 2024 6th Ave, Columbus, Georgia |
| Authorized Official Name and Position | John Anthony Declue (PHYSICAN) |
| Authorized Official Contact | 7063172170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John A. Declue, D. O., P. C. Po Box 4747 Columbus GA 31904-0747 Ph: (706) 317-2170 | John A. Declue, D. O., P. C. 2024 6th Ave Columbus GA 31904-8911 Ph: (706) 317-2170 |
| NPI Number | 1821205824 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821205824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 037522 (Georgia) | Primary |
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