# COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC.

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

## Provider details

- **NPI number:** 1790733244
- **Authorized official:** MS. TEIRRA WALKER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (706) 494-4300

## Contact information

- **Practice address:** 1800 10TH AVE, COLUMBUS, GA 31901-3624
- **Practice address phone:** (706) 571-1120
- **Practice address fax:** (706) 660-2685
- **Mailing address:** PO BOX 117337, ATLANTA, GA 30368-7337
- **Mailing address phone:** (770) 801-2500
- **Mailing address fax:** (470) 271-2895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 10/26/2021