Provider Demographics
NPI:1689002198
Name:PEDIATRIC PARTNERS OF COLUMBUS PC
Entity Type:Organization
Organization Name:PEDIATRIC PARTNERS OF COLUMBUS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:R
Authorized Official - Last Name:STEINWACHS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-221-2401
Mailing Address - Street 1:1336 3RD AVENUE
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2114
Mailing Address - Country:US
Mailing Address - Phone:706-324-0355
Mailing Address - Fax:888-371-5192
Practice Address - Street 1:1336 3RD AVENUE
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-2114
Practice Address - Country:US
Practice Address - Phone:706-324-0355
Practice Address - Fax:888-371-5192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-18
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA042736208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty