# CONCIERGE MEDICINE OF COLUMBUS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reveal Breast Imaging Center, Elite Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679089296
- **Authorized official:** SUSAN WHITE (CEO)
- **Authorized official phone:** (706) 457-4781

## Contact information

- **Practice address:** 1000 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4675
- **Practice address phone:** (762) 261-3334
- **Practice address fax:** (762) 261-3335
- **Mailing address:** 850 BROOKSTONE CENTRE PKWY STE 200, COLUMBUS, GA 31904-9245
- **Mailing address phone:** (706) 507-4242

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2017
- **Last updated:** 01/25/2024