| Millennium Independent Provider Network Of Georgia, Llc | |
|
610 19th St Columbus GA 31901-1528 | |
| (706) 322-7884 | |
| Not Available |
| Full Name | Millennium Independent Provider Network Of Georgia, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 610 19th St, Columbus, Georgia |
| Authorized Official Name and Position | Mary Haltigan (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 8778563774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennium Independent Provider Network Of Georgia, Llc 2675 Winkler Ave Fl 2 Fort Myers FL 33901-9342 Ph: (877) 856-3774 | Millennium Independent Provider Network Of Georgia, Llc 610 19th St Columbus GA 31901-1528 Ph: (706) 322-7884 |
| NPI Number | 1235967548 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 07/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235967548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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