OrganizationActive
Our Lady of the Roses Primary Care
NPI 1205207933 · Migrant Health Clinic/Center · Columbus, GA
Provider details
- NPI number
- 1205207933
- Entity type
- Organization
- Primary specialty
- Migrant Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Gerald Wieczorek, Business Manager
- License
- RN042301 (GA)
Mailing address
Po Box 1957
Fortson, GA 31808-1957
Registry dates
- Enumerated
- 2015-10-07
- Last updated
- 2015-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.