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Organization

COLUMBUS DIAGNOSTIC CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOE PAUL (PRESIDENT)
(561) 744-9122
Entity
Organization

Contact information

Practice address
2040 10TH AVE, COLUMBUS, GA 31901-1461
(706) 322-3000
(706) 256-3454
Mailing address
PO BOX 931077, ATLANTA, GA 31193-1077
(706) 322-3000
(706) 256-3454

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
GA
261QR0200X
Radiology Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GRP2151
MEDICARE PTAN
GA
Enumeration date
06/19/2008
Last updated
07/21/2022
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