Contract Details
Facility name
Occupational Medicine of Columbus
Provider ID
P000007296
NPI
1205967312
Tax ID
432022725
Effective Date
6/15/2006
Last Updated
6/19/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
7031 Northlake Drive
Columbus, GA 31909
United States
County
Muscogee
Phone
7062211600 (Phone)
Billing Details
Address
7031 North Lake Drive
Columbus, GA 31909
Billing Phone
7062211600
Specialty Type
Occupational Medicine Facility
Map
Address