# MED CLINIC OF COLUMBUS

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

## Provider details

- **NPI number:** 1467982579
- **Authorized official:** EMMA CULL (COO)
- **Authorized official phone:** (678) 469-5011

## Contact information

- **Practice address:** 500 E MAIN ST STE 105A, COLUMBUS, OH 43215-5369
- **Practice address phone:** (614) 962-6330
- **Mailing address:** 5821 SOUTHWEST FWY STE 550, HOUSTON, TX 77057-7531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 06/13/2017