Organization
THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Active
Parent organization
THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Other names
The Columbus Orthopaedic Clinic, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Authorized official
TAMMY J GAVIN (CREDENTIALING)
(662) 370-1014
Entity
Organization
Contact information
Practice address
17540 E MAIN ST, LOUISVILLE, MS 39339-2772
(662) 328-1012
Mailing address
17540 E MAIN ST, LOUISVILLE, MS 39339-2772
(662) 328-1012
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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