# MERCYMED OF COLUMBUS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124800545
- **Authorized official:** MR. TONY NGUYEN (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (706) 507-9209

## Contact information

- **Practice address:** 110 21ST ST APT 3101, COLUMBUS, GA 31901-1057
- **Practice address phone:** (706) 507-9209
- **Practice address fax:** (706) 507-9249
- **Mailing address:** 3702 2ND AVE, COLUMBUS, GA 31904-7408
- **Mailing address phone:** (706) 507-9209
- **Mailing address fax:** (706) 507-9209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2023
- **Last updated:** 10/19/2023