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1700172707
MICHAEL COULTHARD
COLUMBUS, GA
NPI
1700172707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 005235)
Enumeration Date
2011-06-28
Last Update Date
2011-07-01
Business Address
-- MICHAEL COULTHARD
1900 10TH AVE STE 100
COLUMBUS, GA 31901-3601
Phone number: 706-571-1430
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Mailing Address
-- MICHAEL COULTHARD
1800 10TH AVE
COLUMBUS, GA 31901-1513
Phone number:
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