Coliseum Primary Care Services, LLC

NPI #1629018023 in Macon, Georgia

Provider Information

NPI Number
1629018023
Entity Type
Organization
Organization Name
Coliseum Primary Care Services, LLC
Primary Specialty
Internal Medicine
Enumeration Date
Jun 7, 2006
Last Updated
Nov 1, 2016

Practice Location

Address
380 HOSPITAL DR
Address 2
BLDG A SUITE 370
City
Macon
State
Georgia
ZIP Code
31217-8001
Phone
(478) 474-4343

Authorized Official

Name
KRISTINE TURNER
Title
CONTROLLER
Phone
(843) 856-7938

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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