Organization
COLUMBUS SURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TAYLOR MD (PRESIDENT)
(706) 984-7400
Entity
Organization
Contact information
Practice address
1900 10TH AVE, STE 201, COLUMBUS, GA 31901-3602
(706) 984-7400
Mailing address
1900 10TH AVE, STE 201, COLUMBUS, GA 31901-3602
(706) 984-7400
(706) 984-7401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
063806
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202G705233
PTAN
GA
Enumeration date
11/30/2015
Last updated
06/14/2016
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