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COLUMBUS, GA
NPI1700124682
Entity TypeOrganization
Authorized ContactMICHELLE TORRES
Nursing Supervisor
706-221-5025
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2013-01-28
Last Update Date2013-01-28
Business Address
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3649 VICTORY DR
COLUMBUS, GA 31903-4553
Phone number: 706-221-5025
Mailing Address
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502 W CENTER CROSS ST
EDINBURGH, IN 46124-9701
Phone number: 812-526-4070
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