# PHYSICIAN PRACTICE ORGANIZATION DBA COLUMBUS MEDICAL

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

## Provider details

- **NPI number:** 1982610119
- **Authorized official:** MS. WILMA L. OVERFELT (PRACTICE MANAGER)
- **Authorized official phone:** (812) 372-8293

## Contact information

- **Practice address:** 2345 N PARK DR, COLUMBUS, IN 47203-4473
- **Practice address phone:** (812) 372-8293
- **Practice address fax:** (812) 378-6115
- **Mailing address:** 2345 N PARK DR, COLUMBUS, IN 47203-4473
- **Mailing address phone:** (812) 372-8293
- **Mailing address fax:** (812) 378-6115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01032770 | NULL | Yes |
| 207Q00000X | Family Medicine Physician | 01032770 | — | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/22/2020