Provider Demographics
NPI:1568849008
Name:COLUMBUS SPECIALTY HOSPITAL
Entity Type:Organization
Organization Name:COLUMBUS SPECIALTY HOSPITAL
Other - Org Name:DOCTORS HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL PHARMACIST, PIC
Authorized Official - Prefix:MISS
Authorized Official - First Name:DIMARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:706-494-4369
Mailing Address - Street 1:616 19TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-1528
Mailing Address - Country:US
Mailing Address - Phone:706-494-4362
Mailing Address - Fax:706-494-4248
Practice Address - Street 1:616 19TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1528
Practice Address - Country:US
Practice Address - Phone:706-494-4362
Practice Address - Fax:706-494-4248
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLUMBUS SPECIALTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHH004608284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital