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Organization

JAIME L. VIVAS, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FE SERRALLES VIVAS (OFFICE ADMINISTRATOR)
(706) 660-1711
Entity
Organization

Contact information

Practice address
5605 PRINCETON AVE STE B, COLUMBUS, GA 31904-9069
(706) 660-1711
(706) 660-1713
Mailing address
5605 PRINCETON AVE STE B, COLUMBUS, GA 31904-9069
(706) 660-1711
(706) 660-1713

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Enumeration date
02/28/2024
Last updated
02/28/2024
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