Coliseum Pediatric and Adolescent Care, INC

NPI #1437333978 in Macon, Georgia

Provider Information

NPI Number
1437333978
Entity Type
Organization
Organization Name
Coliseum Pediatric and Adolescent Care, INC
Primary Specialty
Pediatrics
Enumeration Date
Dec 19, 2007
Last Updated
Dec 19, 2007

Practice Location

Address
360 HOSPITAL DR BLDG D
City
Macon
State
Georgia
ZIP Code
31217-3874
Phone
(478) 743-4632

Authorized Official

Name
TERESA J TRIPPE, M.D.
Title
OWNER/PHYSICIAN
Phone
(478) 743-4632

Specialties & Taxonomy Codes

Specialty
Pediatrics

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