Individual
DR. GUSTIN MACKAY WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1310 13TH AVENUE, VA COBC, COLUMBUS, GA 31901
(706) 257-7205
Mailing address
1310 13TH AVE, COLUMBUS, GA 31901-2335
(706) 257-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO614
AL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
37105
GA
Other
Enumeration date
08/22/2006
Last updated
07/12/2007
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