Organization
COLUMBUS PRIMARY CARE INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDET O BASSEY M.D. (CEO PRESIDENT)
(706) 660-8825
Entity
Organization
Contact information
Practice address
1041 TALBOTTON RD, COLUMBUS, GA 31904-8745
(706) 660-8825
(706) 660-8897
Mailing address
PO BOX 2746, COLUMBUS, GA 31902-2746
(706) 660-8825
(706) 660-8897
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044408
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000807881C
—
GA
05
—
00807881C
—
GA
Enumeration date
01/22/2007
Last updated
05/11/2010
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