INITIUM VITAE

COLUMBUS, GA
NPI1619848033
Doing Business AsFTHC
Entity TypeOrganization
Authorized ContactDESHAUN INGERSOLL-BROWN
Administrator
470-815-1138
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2025-09-17
Last Update Date2025-09-17
Business Address
INITIUM VITAE
6254 WARM SPRINGS RD APT D6
COLUMBUS, GA 31909-9144
Phone number: 470-652-1202
Mailing Address
INITIUM VITAE
6254 WARM SPRINGS RD APT D6
COLUMBUS, GA 31909-9144
Phone number: 470-652-1202