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1295967602
PEDIATRIC ACUTE CARE OF COLUMBUS, P.C.
COLUMBUS, GA
NPI
1295967602
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Entity Type
Organization
Authorized Contact
SHANE B DARRAH
CEO/President
706-615-4736
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 058161)
Enumeration Date
2009-08-18
Last Update Date
2009-08-18
Business Address
PEDIATRIC ACUTE CARE OF COLUMBUS, P.C.
5555 WHITTLESEY BLVD SUITE L-1
COLUMBUS, GA 31909
Phone number: 706-615-4736
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Mailing Address
PEDIATRIC ACUTE CARE OF COLUMBUS, P.C.
P.O. BOX 1106
FORTSON, GA 31808-1106
Phone number: 706-615-4736
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