Organization
COLUMBUS MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D KORNMAYER DO (OWNER)
(828) 894-8213
Entity
Organization
Contact information
Practice address
45 E MILLS ST, COLUMBUS, NC 28722
(828) 894-8213
(828) 894-5775
Mailing address
45 E MILLS ST, COLUMBUS, NC 28722
(828) 894-8213
(828) 894-5775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9800939
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01347
BCBS
NC
05
—
8901347
—
NC
Enumeration date
05/07/2007
Last updated
07/17/2012
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