NPI | 1194378083 |
---|---|
Doing Business As | COLUMBIA OB GYN PRIMARY CARE NETWORK |
Entity Type | Organization |
Authorized Contact | GREGORY A WHITLOCK VP Finance/It 931-540-4212 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2019-07-19 |
Last Update Date | 2025-06-03 |