Coliseum Health Group, LLC

NPI #1912947367 in Macon, Georgia

Provider Information

NPI Number: 1912947367
Entity Type: Organization
Organization Name: Coliseum Health Group, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 7, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 360 HOSPITAL DR
Address 2: SUITE 110
City: Macon
State: Georgia
ZIP Code: 31217-3874
Phone: (478) 841-2707

Authorized Official

Name: MICKEY PICKLER
Title: VP
Phone: (478) 841-2707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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