Provider Demographics
NPI:1700217536
Name:THE RELIEF INSTITUTE OF COLUMBUS
Entity Type:Organization
Organization Name:THE RELIEF INSTITUTE OF COLUMBUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:JUNIOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-849-3890
Mailing Address - Street 1:18520 NW 67TH AVE
Mailing Address - Street 2:278
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-3302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7661 KAYNE BLVD
Practice Address - Street 2:BLDGA
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-2545
Practice Address - Country:US
Practice Address - Phone:706-576-2333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA115737207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty