| Wynnton Family Clinic, Llc | |
|
2032 Wynnton Rd Suite B Columbus GA 31906-2448 | |
| (706) 320-9355 | |
| Not Available |
| Full Name | Wynnton Family Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2032 Wynnton Rd, Columbus, Georgia |
| Authorized Official Name and Position | Asma Ali (DR.) |
| Authorized Official Contact | 7063209355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wynnton Family Clinic, Llc 2032 Wynnton Rd Suite B Columbus GA 31906-2448 Ph: () - | Wynnton Family Clinic, Llc 2032 Wynnton Rd Suite B Columbus GA 31906-2448 Ph: (706) 320-9355 |
| NPI Number | 1306856174 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 04/28/2014 |
| Medicare PECOS PAC ID | 7012962871 |
|---|---|
| Medicare Enrollment ID | O20050315000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306856174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Asma E Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497737936 PECOS PAC ID: 3375598139 Enrollment ID: I20050316000388 |
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