Coliseum Health Group, LLC

NPI #1043254360 in Macon, Georgia

Provider Information

NPI Number: 1043254360
Entity Type: Organization
Organization Name: Coliseum Health Group, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 16, 2006
Last Updated: Aug 29, 2007

Practice Location

Address: 420 CHARTER BLVD
Address 2: SUITE 304
City: Macon
State: Georgia
ZIP Code: 31210-4854
Phone: (478) 405-0280

Authorized Official

Name: MARK PICKETT
Title: VP
Phone: (478) 405-0280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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