Healthcare Provider Details

I. General information

NPI: 1750349635
Provider Name (Legal Business Name): COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CENTER ST SUITE 102
COLUMBUS GA
31901-1546
US

IV. Provider business mailing address

1800 10TH AVE
COLUMBUS GA
31901-3624
US

V. Phone/Fax

Practice location:
  • Phone: 706-571-1011
  • Fax: 706-320-8646
Mailing address:
  • Phone: 706-571-1823
  • Fax: 706-660-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: IRAHABEAULIENTHIA TUCKER-MUSZYNSKI
Title or Position: CREDENTIALING SPECIALIST
Credential: CMA, CPAR
Phone: 706-571-1823