| Prestige Family Medicine | |
|
6200 Bradley Park Dr Columbus GA 31904-3078 | |
| (706) 591-8080 | |
| (888) 905-2571 |
| Full Name | Prestige Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 6200 Bradley Park Dr, Columbus, Georgia |
| Authorized Official Name and Position | Shikha Shah (OWNER) |
| Authorized Official Contact | 7065918080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Family Medicine 6200 Bradley Park Dr Columbus GA 31904-3078 Ph: (706) 591-8080 | Prestige Family Medicine 6200 Bradley Park Dr Columbus GA 31904-3078 Ph: (706) 591-8080 |
| NPI Number | 1457989618 |
|---|---|
| Provider Enumeration Date | 03/31/2020 |
| Last Update Date | 10/04/2023 |
| Medicare PECOS PAC ID | 8325452832 |
|---|---|
| Medicare Enrollment ID | O20210125001393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457989618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shikha Hiren Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033497318 PECOS PAC ID: 1254567654 Enrollment ID: I20150316002743 |
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