Individual
MRS. BRADY R RUMPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 MANCHESTER EXPY, STE A6, COLUMBUS, GA 31904-6802
(706) 322-6646
(706) 322-3226
Mailing address
PO BOX 7217, COLUMBUS, GA 31908-7217
(706) 320-2773
(706) 596-4226
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
001498
GA
207L00000X
Anesthesiology Physician
063216
GA
208VP0000X
Pain Medicine Physician
Primary
063216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123037
—
AL
01
—
202I053426
MEDICARE PTAN
GA
05
—
365137301
—
GA
Enumeration date
01/31/2008
Last updated
07/27/2015
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