Middle Georgia Diabetes Endocrinology Wellness Center, LLC
NPI #1205231636 in Warner Robins, Georgia
Provider Information
- NPI Number
- 1205231636
- Entity Type
- Organization
- Organization Name
- Middle Georgia Diabetes Endocrinology Wellness Center, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC
- Primary Specialty
- Internal Medicine - Endocrinology, Diabetes & Metabolism
- Enumeration Date
- Oct 28, 2014
- Last Updated
- Oct 28, 2014
Practice Location
- Address
- 512 S HOUSTON LAKE RD
- City
- Warner Robins
- State
- Georgia
- ZIP Code
- 31088-6308
- Phone
- (478) 254-2644
Authorized Official
- Name
- MR. RALLIE DALE COGBURN SR., PA-C
- Title
- OFFICE MANAGER
- Phone
- (478) 254-2644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism |
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