Organization
COLUMBUS GYNECOLOGY ONCOLOGY MANAGEMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG S. HEMBREE (CFO/SVP)
(706) 320-3751
Entity
Organization
Contact information
Practice address
2300 MANCHESTER EXPY, STE C001, COLUMBUS, GA 31904-6877
(706) 243-4594
(706) 243-4596
Mailing address
PO BOX 8668, COLUMBUS, GA 31908-8668
(706) 243-4594
(706) 243-4596
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140383A
—
GA
05
—
154942
—
AL
Enumeration date
10/04/2013
Last updated
04/27/2015
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