Organization
PATHWAY HEALTHCARE- COLUMBUS, MS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL SPENCER (BUSINESS OFFICE MANAGER)
(731) 265-6025
Entity
Organization
Contact information
Practice address
3600 BLUECUTT RD STE 200, COLUMBUS, MS 39705-1303
(731) 265-6025
(731) 265-6028
Mailing address
37 SANDSTONE CIR STE 92, JACKSON, TN 38305-3168
(731) 265-6025
(731) 265-6028
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
03/17/2018
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