Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Columbus Diabetes & Wound Care Center LLC

Organization Family Medicine Physician · NPI 1710790100

Columbus Diabetes & Wound Care Center LLC is a Family Medicine Physician in Columbus, Georgia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2300 Manchester Expy Ste H202
Columbus, GA 31904-6803
Phone: (706) 257-7680
Fax: (706) 257-7681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Family Medicine Physician Taxonomy 207Q00000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1710790100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Stout — Manager · (337) 315-7927
NPI enumeratedJanuary 29, 2025
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026
Mailing address2300 Manchester Expy Ste H202, Columbus, GA 31904-6803

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