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General NPI Number Information
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NPI Number | 1952425159
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Entity Type | Organization
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Legal Business Name | FAMILY PHYSICIANS OF COLUMBUS
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 6801 RIVER RD SUITE 101
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City | COLUMBUS
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State | GA
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Zip | 31904-3352
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Country | US
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Telephone | 706-494-0694
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Fax |
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Provider Business Mailing Address
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Address Line | 6801 RIVER RD SUITE 101
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City | COLUMBUS
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State | GA
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Zip | 31904-3352
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Country | US
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Telephone | 706-494-0694
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JAMIE BONNER LEWIS
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Credential | RN
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Telephone | 706-494-0694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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