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Organization
PEDIATRIC ACUTE CARE OF COLUMBUS, P.C.
Active
Organization
PEDIATRIC ACUTE CARE OF COLUMBUS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE B DARRAH M.D. (CEO/PRESIDENT)
(706) 615-4736
Entity
Organization
Contact information
Practice address
5555 WHITTLESEY BLVD, SUITE L-1, COLUMBUS, GA 31909
(706) 615-4736
Mailing address
P.O. BOX 1106, FORTSON, GA 31808-1106
(706) 615-4736
(706) 478-0498
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
058161
GA
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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