| William E. Roundtree M.d.,p.c. | |
|
1716 Buena Vista Rd Columbus GA 31906-3003 | |
| (706) 324-3650 | |
| (706) 324-7510 |
| Full Name | William E. Roundtree M.d.,p.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1716 Buena Vista Rd, Columbus, Georgia |
| Authorized Official Name and Position | William Earl Roundtree (PHYSICIAN) |
| Authorized Official Contact | 7063243650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William E. Roundtree M.d.,p.c. 1716 Buena Vista Rd Columbus GA 31906-3003 Ph: (706) 324-3650 | William E. Roundtree M.d.,p.c. 1716 Buena Vista Rd Columbus GA 31906-3003 Ph: (706) 324-3650 |
| NPI Number | 1700075074 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 9234034513 |
|---|---|
| Medicare Enrollment ID | O20031201000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700075074 | NPI | - | NPPES |
| 537001 | Other | GA | CLAIM BILLING ID |
| 00346321B | Medicaid | GA | |
| C75484 | Other | GA | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 021802 (Georgia) | Primary |
| Provider Name | William E Roundtree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932217999 PECOS PAC ID: 4486559762 Enrollment ID: I20031202000105 |
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