11D2051701 CLIA NUMBER - RIVERTOWN PSYCHIATRY

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Laboratory Demographics

CLIA Number: 11D2051701

Facility Name: RIVERTOWN PSYCHIATRY

Facility Address:
6003 VETERANS PARKWAY SUITE 100
COLUMBUS, GA
ZIP 31909
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Facility Phone Number: 706 221-3854

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1437288255

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

CLIA Record

Field Name	Field Value
CLIA Number	11D2051701
LAB Type	Physician Office
Facility Name	RIVERTOWN PSYCHIATRY
Street	6003 VETERANS PARKWAY SUITE 100
City	COLUMBUS
State	GA
ZIP	31909
Phone	706 221-3854
CertificateType	2
CertificateEffectiveDate	4/18/2023
CertificateExpirationDate	4/17/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024