Organization
SOUTH COLUMBUS FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHABBIR MOTIWALA (MD)
(706) 685-2770
Entity
Organization
Contact information
Practice address
4000 SAINT MARYS RD, COLUMBUS, GA 31907-7626
(706) 685-2770
(706) 685-3299
Mailing address
4000 SAINT MARYS RD, COLUMBUS, GA 31907-7626
(706) 685-2770
(706) 685-3299
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
036581
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303731
—
GA
Enumeration date
05/01/2007
Last updated
08/22/2020
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