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Organization

INTERNAL MEDICINE ASSOCIATES OF COLUMBUS, P.C.

Active
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Organization

INTERNAL MEDICINE ASSOCIATES OF COLUMBUS, P.C.

Active
Parent organization
INTERNAL MEDICINE ASSOCIATES OF COLUMBUS, P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
INTERNAL MEDICINE ASSOCIATES OF COLUMBUS, P.C.
Authorized official
JEANIE ANN WRATHER (LABORATORY DIRECTOR)
(662) 243-2013
Entity
Organization

Contact information

Practice address
425 HOSPITAL DR, SUITE 6, COLUMBUS, MS 39705-1901
(662) 243-2013
Mailing address
425 HOSPITAL DR, SUITE 6, COLUMBUS, MS 39705-1901
(662) 243-2013

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116356
MS
Enumeration date
08/09/2007
Last updated
12/10/2007
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