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Managed Care Organizations at Broadstone Ct, Columbus, GA

License number
Georgia 110364
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MR. JAMES MARCUS CEASAR
Title: OWNER
Phone: (762) 241-3710
Address
Address
6006 Broadstone Ct, Columbus, GA 31907
National Provider ID: 1508116948
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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