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NPI Code Detail

MEDICARE: COLUMBUS PALLIATIVE CARE, INC.

MEDICARE: COLUMBUS PALLIATIVE CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1013103423
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS PALLIATIVE CARE, INC.
Provider Business Mailing Address
First Line : 7020 MOON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-4900
Country : US
Telephone Number : 706-569-7992
Fax Number : 706-569-8560
Provider Business Practice Location Address
First Line : 7020 MOON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-4900
Country : US
Telephone Number : 706-569-7992
Fax Number : 706-569-8560
Authorized Official
Title or Position : EXECUTIVE DIRECTOR/CEO
Name : MICHAEL A SMAJD
Credential :
Telephone Number : 706-569-7992
Provider Enumeration Date : 09/19/2007
Last Update Date : 09/19/2007

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Directions to “COLUMBUS PALLIATIVE CARE, INC. ” Practice Location

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