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Contact Information

COLUMBUS ORAL & MAXILLOFACIAL SURGERY PC
4405 N STADIUM DR
SUITE A
COLUMBUS, GA31909-1878
 Phone: 706-507-0901
 Fax: 706-507-0984
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for COLUMBUS ORAL MAXILLOFACIAL SURGERY PC · (Female)

NPI # 1003023870
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2007
Last updated 06/23/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 052372
  • GA License # DN013256
  • GA Other IP09476001 BCBS OF GA (M) GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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