Organization
ST. FRANCIS PHYSICIAN PRACTICES LLC
Active
Other names
St. Francis Interventional Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
JESS JUDY (PRESIDENT)
(615) 599-1627
Entity
Organization
Contact information
Practice address
2300 MANCHESTER EXPY, STE A005, COLUMBUS, GA 31904-6802
(706) 320-3128
(706) 320-3230
Mailing address
2300 MANCHESTER EXPY, STE A005, COLUMBUS, GA 31904-6802
(706) 320-3128
(706) 320-3230
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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