Provider Demographics
NPI:1386482123
Name:COLUMBUS ORTHOPAEDIC ASSOCIATES LLC
Entity type:Organization
Organization Name:COLUMBUS ORTHOPAEDIC ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:931-206-7952
Mailing Address - Street 1:1900 10TH AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-3607
Mailing Address - Country:US
Mailing Address - Phone:762-524-7445
Mailing Address - Fax:
Practice Address - Street 1:1900 10TH AVE STE 310
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3607
Practice Address - Country:US
Practice Address - Phone:762-524-7445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty