Organization
THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Active
Parent organization
THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Authorized official
TAMMY J GAVIN (PRACTICE ADMIN/CREDENTIALING)
(662) 370-1014
Entity
Organization
Contact information
Practice address
5002 HIGHWAY 39 N BLDG C, MERIDIAN, MS 39301-1078
(601) 385-9111
Mailing address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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