Individual
DR. JOHN S WOMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
610 19TH STREET, COLUMBUS, GA 31901-1528
(706) 322-7884
(706) 660-2171
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044866
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000818419G
—
GA
05
—
000818419L
—
GA
01
—
0100156
UNITED HEALTHCARE
—
01
—
1813747
FIRST HEALTH
—
01
—
2554240
CIGNA
—
01
—
450491390W9M1
EVERGREEN
—
01
—
52738836003
BCBS
GA
01
—
60027776
BCBS
AL
01
—
P00160093
RAILROAD MEDICARE
—
Enumeration date
10/12/2005
Last updated
08/07/2024
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