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NPI Code Detail

MEDICARE: TALBOTT COLUMBUS

MEDICARE: TALBOTT COLUMBUS
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
1251S00000XCommunity/Behavioral Health Agency106094DGA

General Provider Information

NPI Number : 1215487962
Entity Type Code : Organization
Provider Name (Legal Business Name) : TALBOTT COLUMBUS
Provider Business Mailing Address
First Line : PO BOX 2007
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49501-2007
Country : US
Telephone Number : 678-251-3211
Fax Number : 770-970-2195
Provider Business Practice Location Address
First Line : 1200 BROOKSTONE CENTRE PKWY
Second Line : SUITE 210
City : COLUMBUS
State : GA
Zip : 31904-2988
Country : US
Telephone Number : 678-251-3211
Fax Number : 770-970-2195
Authorized Official
Title or Position : EVP - CHIEF FINANCIAL OFFICER
Name : STEVE FILTON
Credential :
Telephone Number : 610-382-3319
Provider Enumeration Date : 10/06/2016
Last Update Date : 05/15/2019

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Directions to “TALBOTT COLUMBUS ” Practice Location

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