| River City Neurological Associates | |
|
2101 North Ave Columbus GA 31904-8806 | |
| (706) 221-8799 | |
| (706) 221-8979 |
| Full Name | River City Neurological Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 2101 North Ave, Columbus, Georgia |
| Authorized Official Name and Position | Mohammed Y Pathan (PRESIDENT) |
| Authorized Official Contact | 7062218799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River City Neurological Associates 2101 North Ave Columbus GA 31904-8806 Ph: (706) 221-8799 | River City Neurological Associates 2101 North Ave Columbus GA 31904-8806 Ph: (706) 221-8799 |
| NPI Number | 1790101392 |
|---|---|
| Provider Enumeration Date | 03/07/2014 |
| Last Update Date | 06/01/2023 |
| Medicare PECOS PAC ID | 0749411122 |
|---|---|
| Medicare Enrollment ID | O20140327002048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790101392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 71152 (Georgia) | Primary |
| Provider Name | Mohammed Y Pathan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073575288 PECOS PAC ID: 3779570676 Enrollment ID: I20140327002142 |
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