NPI 1003321969

Heritage Physician Services, LLC

Organisation Emergency Medicine Physician Columbus, GA

Practice location

Address: 100 Frist CT, Columbus, GA 31909-3578
Phone: (706) 494-2100
Mailing address: PO Box 22715, Belfast, ME 04915-4478

Authorised official

Name: Kim H Larsen
Title: Director of Credentialing
Phone: (770) 874-5400

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Georgia →

Registry record

NPI: 1003321969
Entity type: Organization
NPI issued: 13 Dec 2017
Record last updated: 5 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.