OUR LADY OF THE ROSES PRIMARY CARE
Ambulatory Health at 21 St, Columbus, GA

License number
Georgia RN042301
Category
Ambulatory Health
Type
Migrant Health
Owner
Name: MR. GERALD WILLIAM WIECZOREK
Title: BUSINESS MANAGER
Phone: (706) 327-4880
Address
Address 2
808 21St St, Columbus, GA 31904
PO Box 1957, Fortson, GA 31808
National Provider ID: 1205207933
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about OUR LADY OF THE ROSES PRIMARY CARE at bizstanding.com

OUR LADY OF THE ROSES PRIMARY CARE, LLC

Columbus, GA

Industry:
Medical Doctor's Office
Doing business as:
Our Lady of The Roses Primary Care
Registration:
Mar 3, 2010
Addresses:
808 21 St, Columbus, GA 31904 (Physical)
1005 Talbotton Rd, Columbus, GA 31904
5353 Veterans Pkwy, Columbus, GA 31904
State ID:
10017612
Business type:
Domestic Limited Liability Company
Aprnbcs:
Gerald W. Wieczorek (Principal, Registering Agent),Susan C Karm Wieczorek (Aprnbc)

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