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1174709422
COLUMBUS SOUTHERN MEDICAL GROUP LLC
COLUMBUS, OH
NPI
1174709422
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Entity Type
Organization
Authorized Contact
KEVIN LAKE
Medical Director
614-497-3400
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2008-01-17
Last Update Date
2008-01-17
Business Address
COLUMBUS SOUTHERN MEDICAL GROUP LLC
2912 S HIGH ST
COLUMBUS, OH 43207-3616
Phone number: 614-497-3400
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Mailing Address
COLUMBUS SOUTHERN MEDICAL GROUP LLC
2912 S HIGH ST
COLUMBUS, OH 43207-3616
Phone number:
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