| Columbia Ob Gyn Primary Care Network | |
|
1222 Trotwood Ave Ste 603 Columbia TN 38401-6410 | |
| (931) 490-1295 | |
| (931) 490-1298 |
| Full Name | Columbia Ob Gyn Primary Care Network |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1222 Trotwood Ave Ste 603, Columbia, Tennessee |
| Authorized Official Name and Position | Pamela L Dawson (PHYSICIAN CREDENTIALING) |
| Authorized Official Contact | 9314907019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Ob Gyn Primary Care Network 617 W Main St Hohenwald TN 38462-1355 Ph: (931) 796-4901 | Columbia Ob Gyn Primary Care Network 1222 Trotwood Ave Ste 603 Columbia TN 38401-6410 Ph: (931) 490-1295 |
| NPI Number | 1194378083 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 08/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194378083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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