Provider Demographics
NPI:1649653981
Name:THE AUSITM LEARNING CENTER
Entity type:Organization
Organization Name:THE AUSITM LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HILMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-221-8966
Mailing Address - Street 1:6100 VETERANS PKWY
Mailing Address - Street 2:SUITE 11
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-6223
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6100 VETERANS PKWY
Practice Address - Street 2:SUITE 11
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-6223
Practice Address - Country:US
Practice Address - Phone:706-221-8966
Practice Address - Fax:706-221-8967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-06
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center