Provider Demographics
NPI:1043684954
Name:COLUMBUS CARDIOLOGY ASSOCIATES, PC
Entity Type:Organization
Organization Name:COLUMBUS CARDIOLOGY ASSOCIATES, PC
Other - Org Name:COLUMBUS CARDIOLOGY ASSOCIATES AT AMERICUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-323-5552
Mailing Address - Street 1:PO BOX 8072
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31908-8072
Mailing Address - Country:US
Mailing Address - Phone:706-323-5552
Mailing Address - Fax:706-324-5695
Practice Address - Street 1:905 N JACKSON ST
Practice Address - Street 2:STE B
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31719-3089
Practice Address - Country:US
Practice Address - Phone:706-323-5552
Practice Address - Fax:706-324-5695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA050076207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty