HomeNPI Verification

NPI Verification

National Provider Identifier: 1134635105

138 Med

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

30 LAKERIDGE CT

COLUMBUS, GA 319041800

Phone: 706-562-8088

NPI Enumeration Date

December 28, 2017

NPI Number

1134635105

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry