# 138 MED

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

## Provider details

- **NPI number:** 1134635105
- **Authorized official:** DR. HAFSA AZIZ BHATTI MD (OWNER/EMPLOYEE)
- **Authorized official phone:** (706) 289-7952

## Contact information

- **Practice address:** 30 LAKERIDGE CT, COLUMBUS, GA 31904-1800
- **Practice address phone:** (706) 562-8088
- **Mailing address:** 30 LAKERIDGE CT, COLUMBUS, GA 31904-1800
- **Mailing address phone:** (706) 562-8088

## Taxonomy

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

## Other

- **Enumeration date:** 12/28/2017
- **Last updated:** 03/17/2018