Organization
COLUMBUS FOOT & ANKLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON PACE (BILLING MANAGER)
(706) 653-5501
Entity
Organization
Contact information
Practice address
1013 CENTRE BROOK CT, SUITE B, COLUMBUS, GA 31904-4573
(706) 653-5501
(706) 653-5504
Mailing address
1013 CENTRE BROOK CT, SUITE B, COLUMBUS, GA 31904-4573
(706) 653-5501
(706) 653-5504
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000814
GA
213E00000X
Podiatrist
Primary
000895
GA
213E00000X
Podiatrist
009080
GA
213E00000X
Podiatrist
236
AL
Other
Enumeration date
10/20/2006
Last updated
11/02/2012
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