| Coliseum Health Group Llc | |
|
110 Stone Brooke Dr Gray GA 31032-5865 | |
| (478) 986-4743 | |
| Not Available |
| Full Name | Coliseum Health Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Stone Brooke Dr, Gray, Georgia |
| Authorized Official Name and Position | Mickey Pickler (VP) |
| Authorized Official Contact | 6153737600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coliseum Health Group Llc 110 Stone Brooke Dr Gray GA 31032-5865 Ph: (478) 986-4743 | Coliseum Health Group Llc 110 Stone Brooke Dr Gray GA 31032-5865 Ph: (478) 986-4743 |
| NPI Number | 1154363745 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154363745 | NPI | - | NPPES |
| CN6965 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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