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COLUMBUS MEMORY CENTER PC NPI 1083171607


NPI Information

NPI: 1083171607
Provider Name: COLUMBUS MEMORY CENTER, PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 11D1097734

Address:
7196 N LAKE DR
COLUMBUS, GA
ZIP 31909
Phone: (706) 327-4000
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COLUMBUS MEMORY CENTER, PC is a neurology psychiatry neurology in Columbus, GA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. COLUMBUS MEMORY CENTER, PC NPI is 1083171607. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7196 N LAKE DR
COLUMBUS, GA
ZIP 31909-693
Phone: (706) 327-4000
Fax: (706) 324-2557

The provider's authorized official is Jonathan Leonard Liss .
The authorized official title is President and has the following contact phone number (706) 327-4000.

The CLIA number assigned to this NPI record is 11D1097734 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2019 and was last updated on 3/1/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

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: 4/28/2024

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