Organization
SURGICAL ASSOCIATES OF COLUMBUS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L GOLDMAN MD FACS (PRESIDENT)
(706) 649-6600
Entity
Organization
Contact information
Practice address
920 18TH ST, COLUMBUS, GA 31901-1524
(706) 649-6600
(706) 649-6614
Mailing address
920 18TH ST, COLUMBUS, GA 31901-1524
(706) 649-6600
(706) 649-6614
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
GA
2086S0129X
Vascular Surgery Physician
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060087
—
AL
05
—
055000126A
—
GA
Enumeration date
02/03/2006
Last updated
07/21/2022
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