Provider Demographics
NPI:1689743775
Name:COLUMBUS CARDIOVASCULAR SURGERY, PC
Entity Type:Organization
Organization Name:COLUMBUS CARDIOVASCULAR SURGERY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:R
Authorized Official - Last Name:POOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-596-8200
Mailing Address - Street 1:2300 MANCHESTER EXPY
Mailing Address - Street 2:BUILDING E
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-6802
Mailing Address - Country:US
Mailing Address - Phone:706-596-8200
Mailing Address - Fax:706-571-0207
Practice Address - Street 1:2300 MANCHESTER EXPY
Practice Address - Street 2:BUILDING E
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6802
Practice Address - Country:US
Practice Address - Phone:706-596-8200
Practice Address - Fax:706-571-0207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty