Heritage Physician Services, LLC

NPI #1003321969 in Columbus, Georgia

Provider Information

NPI Number: 1003321969
Entity Type: Organization
Organization Name: Heritage Physician Services, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Dec 13, 2017
Last Updated: Feb 5, 2020

Practice Location

Address: 100 FRIST CT
City: Columbus
State: Georgia
ZIP Code: 31909-3578
Phone: (706) 494-2100

Authorized Official

Name: KIM H LARSEN
Title: DIRECTOR OF CREDENTIALING
Phone: (770) 874-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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