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CCN: 111649 NPI: 1508882937 Organization

COMPASSUS-FAYETTEVILLE

101 YORKTOWN DR STE 107A
FAYETTEVILLE, GA 302141578

Contact Information

  • Phone 6788174180
  • Fax 6788174178
  • Enumeration Date 2006-07-15
  • Last Updated 2021-01-15

Taxonomies

  • Code: 251G00000X (Primary) License State: GA License: 0560267H

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 3
cbsaActualGeographicLocation 12060
providerType 35
censusDivision 3
cbsaActualGeographicLocation 12060
providerType 35
censusDivision 3
cbsaActualGeographicLocation 12060
providerType 35
censusDivision 3
cbsaActualGeographicLocation 12060
providerType 35
censusDivision 3
cbsaActualGeographicLocation 12060
providerType 35
censusDivision 3
cbsaActualGeographicLocation 12060
providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 12060
providerType 35
specialPaymentIndicator
carrierCode 10212
localityCode 01
cbsaActualGeographicLocation 12060
providerType 35
specialPaymentIndicator
carrierCode 10212
localityCode 01

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