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Organization

ST. FRANCIS PHYSICIAN PRACTICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNETTA M TRAYLOR (ADMINISTRATOR)
(502) 596-6063
Entity
Organization

Contact information

Practice address
2300 MANCHESTER EXPY, COLUMBUS, GA 31904-6802
(706) 320-2766
(706) 320-2768
Mailing address
2300 MANCHESTER EXPY, COLUMBUS, GA 31904-6802
(706) 320-2766
(706) 320-2768

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2085R0202X
Diagnostic Radiology Physician

Other

Enumeration date
09/28/2023
Last updated
06/14/2025
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