Provider Demographics
NPI:1215487962
Name:TALBOTT COLUMBUS
Entity type:Organization
Organization Name:TALBOTT COLUMBUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP - CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-382-3319
Mailing Address - Street 1:PO BOX 2007
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49501-2007
Mailing Address - Country:US
Mailing Address - Phone:678-251-3211
Mailing Address - Fax:770-970-2195
Practice Address - Street 1:1200 BROOKSTONE CENTRE PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-2988
Practice Address - Country:US
Practice Address - Phone:678-251-3211
Practice Address - Fax:770-970-2195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-06
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA106094D251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health