Coliseum Health Group, LLC

NPI #1134168115 in Macon, Georgia

Provider Information

NPI Number: 1134168115
Entity Type: Organization
Organization Name: Coliseum Health Group, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 6, 2006
Last Updated: Oct 1, 2007

Practice Location

Address: 3200 RIVERSIDE DR
City: Macon
State: Georgia
ZIP Code: 31210-2550
Phone: (478) 757-1500

Authorized Official

Name: MIKE MASSEY
Title: VP
Phone: (478) 757-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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