Organization
EMERGENCY MED SPEC OF COLUMBUS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVID HAGUES DO (AUTHORIZED OFFICIAL)
(562) 468-0227
Entity
Organization
Contact information
Practice address
2122 MANCHESTER EXPRESSWAY, COLUMBUS, GA 31904-6878
(706) 596-4000
Mailing address
PO BOX 11509, WESTMINSTER, CA 92685-1150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191682
—
GA
Enumeration date
07/03/2006
Last updated
04/07/2008
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