# COLUMBUS FAMILY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1639619737
- **Authorized official:** GLENN E FUSSELL MD (MANAGING PARTNER)
- **Authorized official phone:** (706) 324-4177

## Contact information

- **Practice address:** 2827 WARM SPRINGS RD, 3B, COLUMBUS, GA 31904-5246
- **Practice address phone:** (706) 324-4177
- **Practice address fax:** (706) 322-9637
- **Mailing address:** 2827 WARM SPRINGS RD, 3B, COLUMBUS, GA 31904-5246
- **Mailing address phone:** (706) 324-4177
- **Mailing address fax:** (706) 322-9637

## Taxonomy

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

## Other

- **Enumeration date:** 03/08/2017
- **Last updated:** 01/15/2018