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General NPI Number Information
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NPI Number | 1245478213
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Entity Type | Organization
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Legal Business Name | CHRISTIAN MEDICAL ASSOCIATES OF COLUMBUS, INC.
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 2009 WARM SPRINGS RD
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City | COLUMBUS
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State | GA
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Zip | 31904-7931
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Country | US
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Telephone | 706-320-0055
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Fax | 706-576-5133
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Provider Business Mailing Address
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Address Line | 2009 WARM SPRINGS RD
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City | COLUMBUS
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State | GA
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Zip | 31904-7931
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Country | US
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Telephone | 706-320-0055
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Fax | 706-576-5133
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY OLOFINTUYI
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Credential | M.D.
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Telephone | 706-320-0055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | GA045309
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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