Coliseum Health Group LLC

NPI #1154363745 in Gray, Georgia

Provider Information

NPI Number: 1154363745
Entity Type: Organization
Organization Name: Coliseum Health Group LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 11, 2006
Last Updated: Feb 6, 2008

Practice Location

Address: 110 STONE BROOKE DR
City: Gray
State: Georgia
ZIP Code: 31032-5865
Phone: (478) 986-4743

Authorized Official

Name: MICKEY PICKLER
Title: VP
Phone: (615) 373-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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