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NPI Code Detail

MEDICARE: AFFABILIS LLC

MEDICARE: AFFABILIS LLC
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
1282E00000XLong Term Care Hospital106-722GA

General Provider Information

NPI Number : 1720084734
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFFABILIS LLC
Provider Business Mailing Address
First Line : PO BOX 910
Second Line :
City : COLUMBUS
State : GA
Zip : 31902-0910
Country : US
Telephone Number : 706-321-6712
Fax Number : 706-321-6616
Provider Business Practice Location Address
First Line : 616 19TH ST
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1528
Country : US
Telephone Number : 706-494-4075
Fax Number : 706-494-4090
Authorized Official
Title or Position : CEO
Name : WILLIAM A ECKSTEIN
Credential : MGN
Telephone Number : 706-505-8654
Provider Enumeration Date : 06/23/2005
Last Update Date : 07/21/2022

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Directions to “AFFABILIS LLC ” Practice Location

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