| NPI | 1356855852 |
|---|---|
| Former Legal Business Name | THE COLUMBUS ORTHOPAEDIC CLINIC, PA |
| Entity Type | Organization |
| Authorized Contact | TAMMY J GAVIN Credentialing 662-370-1014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2022-05-09 |