Organization
COLUMBUS FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN E FUSSELL MD (MANAGING PARTNER)
(706) 324-4177
Entity
Organization
Contact information
Practice address
2827 WARM SPRINGS RD, 3B, COLUMBUS, GA 31904-5246
(706) 324-4177
(706) 322-9637
Mailing address
2827 WARM SPRINGS RD, 3B, COLUMBUS, GA 31904-5246
(706) 324-4177
(706) 322-9637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000330063C
—
GA
Enumeration date
03/08/2017
Last updated
01/15/2018
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