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NPI Code Detail

MEDICARE: DR. GINA CATHERINE NUSSBAUMER PHARM.D

MEDICARE:  DR. GINA CATHERINE NUSSBAUMER  PHARM.D
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
1183500000XPharmacistRPH024630GA
2183500000XPharmacistPHA18156CO

General Provider Information

NPI Number : 1821366311
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GINA CATHERINE NUSSBAUMER PHARM.D
Provider Business Mailing Address
First Line : 7401 BLACKMON RD
Second Line : APT 2203
City : COLUMBUS
State : GA
Zip : 31909-4489
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3700 MACON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-2248
Country : US
Telephone Number : 706-568-6878
Fax Number : 706-568-6639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2011
Last Update Date : 12/12/2011

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Directions to “ DR. GINA CATHERINE NUSSBAUMER PHARM.D” Practice Location

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