Organization
RIVERTOWN RHEUMATOLOGY P.C.
Active
Organization
RIVERTOWN RHEUMATOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP BRUCE MEADOW D.O. (RHEUMATOLOGIST/CEO)
(706) 494-8444
Entity
Organization
Contact information
Practice address
700 CENTER ST, STE 303, COLUMBUS, GA 31901-1546
(706) 494-8444
Mailing address
700 CENTER ST, STE 303, COLUMBUS, GA 31902-1566
(706) 494-8444
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
043709
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000750373C
—
GA
Enumeration date
03/05/2007
Last updated
12/04/2013
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