138 MED

NPI: 1134635105 · Organization · Active

Primary Specialty

Family Medicine Physician
Family Medicine

Practice Location

30 LAKERIDGE CT
COLUMBUS, GA 31904-1800 Map ↗
Phone: 706-562-8088

All Specialties & Licenses

  • Family Medicine Physician Primary

Other Practice Locations

800 Talbotton Rd
Columbus, GA 31904-8946 Map ↗
Phone: 706-321-0495

NPI Registration

Enumerated: 2017-12-28

Last CMS Update: 2018-03-17