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COLUMBUS SPINE AND PERFORMANCE CENTER LLC NPI 1336316629


NPI Information

NPI: 1336316629
Provider Name: COLUMBUS SPINE AND PERFORMANCE CENTER, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1714 MANCHESTER EXPY
COLUMBUS, GA
ZIP 31904
Phone: (706) 596-0909
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COLUMBUS SPINE AND PERFORMANCE CENTER, LLC is a chiropractor in Columbus, GA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. COLUMBUS SPINE AND PERFORMANCE CENTER, LLC NPI is 1336316629. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1714 MANCHESTER EXPY
COLUMBUS, GA
ZIP 31904-748
Phone: (706) 596-0909
Fax: (706) 596-0919

The provider's authorized official is Gordon Leslie Stephenson .
The authorized official title is Shareholder and has the following contact phone number (706) 596-0909.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 5/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorGA005828GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP4198OTHERMEDICAGE GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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