Oglesby, Takia Marcellus

Oglesby, Takia Marcellus is an individual health care provider with primary practice located at 7351 Old Moon Rd , Columbus GA 31909-7291. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Oglesby, Takia Marcellus can be contacted via phone (706) 653-7000.

Contact Information

Primary practice address
7351 Old Moon Rd Columbus GA 31909-7291
Phone: (706) 653-7000
Fax: (706) 653-7800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 063107 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 063107 Georgia

Profile Details

NPI number 1972720928
LBN Legal business name Oglesby, Takia Marcellus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Sep 17th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972720928 NPPES
Georgia Other 202I728681 MEDICARE PTAN
Georgia MEDICAID 008131896A MEDICARE PTAN

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