Organization
COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TEIRRA WALKER (CREDENTIALING SPECIALIST)
(706) 494-4300
Entity
Organization
Contact information
Practice address
1800 10TH AVE, COLUMBUS, GA 31901-3624
(706) 571-1120
(706) 660-2685
Mailing address
PO BOX 117337, ATLANTA, GA 30368-7337
(770) 801-2500
(470) 271-2895
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85001603G
—
GA
Enumeration date
05/05/2006
Last updated
10/26/2021
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