Organization
MERCYMED OF COLUMBUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY NGUYEN (CHIEF OPERATIONS OFFICER)
(706) 507-9209
Entity
Organization
Contact information
Practice address
3702 2ND AVENUE, COLUMBUS, GA 31904
(706) 507-9209
Mailing address
3702 2ND AVE, COLUMBUS, GA 31904-7408
(706) 507-9209
(706) 507-9249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58922
GA
208000000X
Pediatrics Physician
58922
GA
Other
Enumeration date
09/01/2011
Last updated
10/19/2023
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