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Organization

COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC.

Active
Parent organization
COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC.
Authorized official
MS. TEIRRA WALKER (CREDENTIALING SPECIALIST)
(706) 494-4300
Entity
Organization

Contact information

Practice address
1810 STADIUM DR STE 240, PHENIX CITY, AL 36867-3179
(334) 291-8303
(334) 291-8325
Mailing address
PO BOX 117337, ATLANTA, GA 30368-7337
(770) 801-2500
(470) 271-2895

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/08/2018
Last updated
10/26/2021
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