Our Lady of the Roses Primary Care
Our Lady of the Roses Primary Care provides General Practice Physician services in Columbus, Georgia. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
808 21st StColumbus, GA 31904-8817 Not confirmed with CMS for 12 years — call before visiting
Phone: (706) 221-7232
Fax: (706) 221-7246
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|---|
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1801119375 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gerald Wieczorek — Registering Agent · (706) 327-4880 |
| NPI enumerated | March 11, 2010 |
| Last updated in NPPES | February 25, 2014 |
| Mailing address | Po Box 1957, Fortson, GA 31808-1957 |
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