| Coliseum Primary Healthcare | |
|
3200 Riverside Dr Macon GA 31210-2550 | |
| (478) 757-1500 | |
| Not Available |
| Full Name | Coliseum Primary Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 3200 Riverside Dr, Macon, Georgia |
| Authorized Official Name and Position | Mike Massey (VP) |
| Authorized Official Contact | 4787571500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coliseum Primary Healthcare 3200 Riverside Dr Macon GA 31210-2550 Ph: (478) 757-1500 | Coliseum Primary Healthcare 3200 Riverside Dr Macon GA 31210-2550 Ph: (478) 757-1500 |
| NPI Number | 1134168115 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134168115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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