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Organization

ANTHONY VINCENT DITARANTO MD JD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY VINCENT DITARANTO (OWNER/PHYSICIAN)
(706) 536-4690
Entity
Organization

Contact information

Practice address
5131 WARM SPRINGS RD, COLUMBUS, GA 31909-4196
(706) 561-1371
(706) 561-4055
Mailing address
6031 BANBURY DR, COLUMBUS, GA 31904-2801
(706) 536-4690
(706) 596-8947

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
08/05/2009
Last updated
10/19/2018
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