NPI 1801119375 OUR LADY OF THE ROSES PRIMARY CARE FORTSON GA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Our Lady Of The Roses Primary Care - NPI: 1801119375

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: OUR LADY OF THE ROSES PRIMARY CARE
NPI Number: 1801119375
Entity Type Code: Organizational (2)
Authorized Official Name: GERALD W. WIECZOREK
(REGISTERING AGENT)
Mailing Address: 808 21st St
Columbus
State: GA US
Postal Code: 319048817
Phone Number: 7062217232
Fax Number: 7062217246
NPI Enumeration Date: 03/11/2010
NPI Last Update Date: 02/25/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
N
State:
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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