Organization
COLUMBUS MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD C WILLIS M.D. (C.E.O)
(706) 321-3901
Entity
Organization
Contact information
Practice address
1005 TALBOTTON RD, SUITE B, COLUMBUS, GA 31904-8757
(706) 321-3901
Mailing address
1005 TALBOTTON RD, SUITE B, COLUMBUS, GA 31904-8757
(706) 321-3901
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
030693
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000368893E
—
GA
05
—
000368893G
—
GA
05
—
000368893H
—
GA
05
—
053082406A
—
GA
05
—
116901413A
—
GA
05
—
740587752B
—
GA
Enumeration date
09/28/2006
Last updated
04/22/2008
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