Provider Demographics
NPI:1427226935
Name:INPHYNT
Entity Type:Organization
Organization Name:INPHYNT
Other - Org Name:ACUTE CARE EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-321-1223
Mailing Address - Street 1:7901 VETERANS PKWY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909
Mailing Address - Country:US
Mailing Address - Phone:706-321-1223
Mailing Address - Fax:706-321-0819
Practice Address - Street 1:7901 VETERANS PKWY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909
Practice Address - Country:US
Practice Address - Phone:706-321-1223
Practice Address - Fax:706-321-0819
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INPHYNT PRM CARE PHYS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-19
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030504261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP3624OtherMCARE GROUP
GA93BDMCPOtherMCARE
GAA45361Medicare UPIN