Provider Demographics
NPI:1376257394
Name:NIMBUS HEALTH COLUMBUS P.C.
Entity type:Organization
Organization Name:NIMBUS HEALTH COLUMBUS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLAY
Authorized Official - Middle Name:W
Authorized Official - Last Name:SPENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-850-7230
Mailing Address - Street 1:7413 WHITESVILLE RD STE 700
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-3230
Mailing Address - Country:US
Mailing Address - Phone:706-600-2427
Mailing Address - Fax:
Practice Address - Street 1:7413 WHITESVILLE RD STE 700
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3230
Practice Address - Country:US
Practice Address - Phone:706-600-2427
Practice Address - Fax:833-464-5475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty