# SOUTH COLUMBUS FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1659592137
- **Authorized official:** SHABBIR MOTIWALA (MD)
- **Authorized official phone:** (706) 685-2770

## Contact information

- **Practice address:** 4000 SAINT MARYS RD, COLUMBUS, GA 31907-7626
- **Practice address phone:** (706) 685-2770
- **Practice address fax:** (706) 685-3299
- **Mailing address:** 4000 SAINT MARYS RD, COLUMBUS, GA 31907-7626
- **Mailing address phone:** (706) 685-2770
- **Mailing address fax:** (706) 685-3299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | 036581 | GA | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020