MEDICARE: RADIOLOGY ASSOCIATES OF COLUMBUS PC

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
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1437144508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGY ASSOCIATES OF COLUMBUS PC

Provider Business Mailing Address
First Line	:	PO BOX 2787
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31902-2787
Country	:	US
Telephone Number	:	706-653-1102
Fax Number	:	706-653-1230

Provider Business Practice Location Address
First Line	:	717 20TH ST
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-8920
Country	:	US
Telephone Number	:	706-653-1102
Fax Number	:	706-653-1230

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRISTOPHER L MCINTIRE
Credential	:	MD
Telephone Number	:	706-596-2020

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	08/22/2020

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