Coliseum Primary Healthcare | |
360 Hospital Dr Suite 110 Macon GA 31217-3874 | |
(478) 841-2707 | |
Not Available |
Full Name | Coliseum Primary Healthcare |
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Speciality | Internal Medicine |
Location | 360 Hospital Dr, Macon, Georgia |
Authorized Official Name and Position | Mickey Pickler (VP) |
Authorized Official Contact | 4788412707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coliseum Primary Healthcare 360 Hospital Dr Suite 110 Macon GA 31217-3874 Ph: (478) 841-2707 | Coliseum Primary Healthcare 360 Hospital Dr Suite 110 Macon GA 31217-3874 Ph: (478) 841-2707 |
NPI Number | 1912947367 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912947367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
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Ketamine Centers Of Central Georgia Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Northside Dr Ste D235, Macon, GA 31210 Phone: 478-201-9220 Fax: 478-203-9322 | |
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