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INTERNAL MEDICINE EDUCATION AND RESEARCH FOUNDATION NPI 1356542997


NPI Information

NPI: 1356542997
Provider Name: INTERNAL MEDICINE EDUCATION AND RESEARCH FOUNDATION
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
710 CENTER ST
COLUMBUS, GA
ZIP 31901
Phone: (706) 571-1454
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INTERNAL MEDICINE EDUCATION AND RESEARCH FOUNDATION is a critical care medicine internal medicine in Columbus, GA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. INTERNAL MEDICINE EDUCATION AND RESEARCH FOUNDATION NPI is 1356542997. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

710 CENTER ST
COLUMBUS, GA
ZIP 31901-527
Phone: (706) 571-1454
Fax: (706) 221-4978

The provider's authorized official is Vincent Michael Nicolais .
The authorized official title is Executive Member and has the following contact phone number (706) 221-4836.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 1/8/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care Medicine17941CONNECTICUTNo
2207RC0200XInternal MedicineCritical Care Medicine131631NEW YORKNo
3207RC0200XInternal MedicineCritical Care Medicine34676GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP616MEDICARE PINGEORGIA

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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