Organization
THE MEDICAL CENTER INC
Active
Other names
Piedmont Pharmacy - North
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CLIFFORD CROSS (AUTHORIZED OFFICIAL)
(770) 803-5501
Entity
Organization
Contact information
Practice address
5601 VETERANS PKWY STE 1800, COLUMBUS, GA 31904-9001
(706) 321-3700
(706) 321-3706
Mailing address
5601 VETERANS PKWY STE 1800, COLUMBUS, GA 31904-9001
(706) 321-3700
(706) 321-3706
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007863
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000655267A
—
GA
Enumeration date
05/13/2006
Last updated
08/24/2021
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