Organization
MAC-LUMPKIN RD LLC
Active
Other names
Acute Care of South Columbus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BROUWER (PRESIDENT/CEO)
(706) 660-6155
Entity
Organization
Contact information
Practice address
1627 S LUMPKIN RD, SUITE 6, COLUMBUS, GA 31903-2719
(706) 243-4154
(706) 243-4154
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 571-1976
(706) 660-6512
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2010
Last updated
08/08/2013
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