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Organization
THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Active
Organization
THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GINA WALKER (MANAGER)
(662) 328-1012
Entity
Organization
Contact information
Practice address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Mailing address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00776741
—
MS
05
—
0114974
—
MS
05
—
03500355
—
MS
05
—
05357253
—
MS
05
—
09011584
—
MS
05
—
09259057
—
MS
Enumeration date
06/28/2005
Last updated
10/24/2022
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