Dr Charles Leo Coster, DO | |
91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143-7703 | |
(706) 253-6200 | |
(706) 253-6276 |
Full Name | Dr Charles Leo Coster |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 91 Sammy Mcghee Blvd, Jasper, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124157722 | NPI | - | NPPES |
85001880G | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 04754 (Georgia) | Primary |
Entity Name | Wellstreet Of Georgia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Leo Coster, DO 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143-7703 Ph: (706) 253-6200 | Dr Charles Leo Coster, DO 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143-7703 Ph: (706) 253-6200 |
Tommy Curtis, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 J L White Dr Ste 170, Jasper, GA 30143 Phone: 706-692-2437 | |
Haley Cook, APRN, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 175 Samaritan Dr, Jasper, GA 30143 Phone: 706-253-4673 | |
Dr. Christopher Larry Atkins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1266 Highway 515 S, Jasper, GA 30143 Phone: 706-301-5350 | |
Carl Dean Mccurdy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 J L White Dr, Suite 170, Jasper, GA 30143 Phone: 706-692-2437 Fax: 706-692-6869 | |
Dr. Herschel L Kessler, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1266 Georgia 515, Jasper, GA 30143 Phone: 706-692-2441 | |
Gregory Todd Rainwater, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 J L White Dr, Suite 170, Jasper, GA 30143 Phone: 706-692-2437 |