Norman  L  Donati  Jr  MD
Contract Details
Hughston Clinic--Columbus
Facility name
Provider ID
P000000436
NPI
1003818741
Tax ID
581155460
Effective Date
2/1/1994
Last Updated
12/2/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_140
Location Details
Address
6262 Veterans Parkway
Columbus, GA 31909
United States
County
Muscogee
Phone
7063246661 (Phone)
Billing Details
Address
P.O. Box 848249
Boston, MA 02284
Billing Phone
7063246661
Specialty Type
Surgery, Orthopedic
Map
Address