Coosa Family Care LLC
NPI #1578113221 in Rainbow City, Alabama
Provider Information
- NPI Number
- 1578113221
- Entity Type
- Organization
- Organization Name
- Coosa Family Care LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 15, 2019
- Last Updated
- Oct 31, 2022
Practice Location
- Address
- 310 W GRAND AVE
- City
- Rainbow City
- State
- Alabama
- ZIP Code
- 35906
- Phone
- (256) 459-5132
Authorized Official
- Name
- KRISTOPHER HOLDER
- Title
- OWNER/MANAGER
- Phone
- (256) 459-5132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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