institution
Samraj Medical Clinic, P.c.
Medical Specialty Clinic/Center in Columbus, Georgia
NPI 1780863324

Samraj Medical Clinic, P.c. is a Medical Specialty Clinic/Center based in Columbus, GA and is specialized in Medical Specialty. Samraj Medical Clinic, P.c. practices in Columbus, GA. The NPI Number for Samraj Medical Clinic, P.c. is 1780863324 and holds a License No. 046322 (Georgia).

The current practice location address for Samraj Medical Clinic, P.c. is 2000 12Th Ave, Columbus, GA and can be reached out via phone at 706-653-2226 and via fax at 706-653-2228.

Location: 2000 12Th Ave, Columbus, GA, 31901-1638
institution
Provider Profile Details
NPI Number
1780863324
Provider Name
Samraj Medical Clinic, P.c.
Credential
Provider Entity Type
Organization
Address
2000 12Th Ave, Columbus, GA, 31901-1638
Phone Number
706-653-2226
Fax Number
706-653-2228
Provider Enumeration Date
10/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRP7206 01 GA MEDICARE GROUP ID
297594 01 GA WELLCARE
P00226966 01 GA RR MEDICARE
DD4216 01 FL MEDICARE RAILROAD CARRIER
000880558C 05 GA
923658 01 GA BCBS
institution
Provider Business Practice Location Address Details
Address
2000 12Th Ave
City
State
Zip
31901-1638
Phone Number
706-653-2226
Fax Number
706-653-2228
person
Provider Business Mailing Address Details
Address
2000 12Th Ave
City
State
Zip
31901-1638
Phone Number
706-653-2226
Fax Number
706-653-2228
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
046322 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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