| Carlos Cossio Md Pc | |
|
1077 Baxter St Suite K Athens GA 30606-3767 | |
| (706) 613-0313 | |
| (706) 613-0229 |
| Full Name | Carlos Cossio Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1077 Baxter St, Athens, Georgia |
| Authorized Official Name and Position | Carlos Cossio (MEDICAL DIRECTOR/PHYSICIAN) |
| Authorized Official Contact | 7166130313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Cossio Md Pc 1077 Baxter St Suite K Athens GA 30606-3767 Ph: (706) 613-0313 | Carlos Cossio Md Pc 1077 Baxter St Suite K Athens GA 30606-3767 Ph: (706) 613-0313 |
| NPI Number | 1396079737 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 10/01/2009 |
| Medicare PECOS PAC ID | 7810033842 |
|---|---|
| Medicare Enrollment ID | O20091006000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396079737 | NPI | - | NPPES |
| Provider Name | Carlos M Cossio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033118781 PECOS PAC ID: 2163568189 Enrollment ID: I20091006000199 |
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