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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