# CMG1, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033522420
- **Authorized official:** DR. STEPHEN B COOPER (ADMINISTRATOR)
- **Authorized official phone:** (877) 298-7705

## Contact information

- **Practice address:** 6487 PIERCE CHAPEL RD UNIT 5, MIDLAND, GA 31820-3554
- **Practice address phone:** (877) 298-7705
- **Practice address fax:** (866) 837-9033
- **Mailing address:** PO BOX 1611, PHENIX CITY, AL 36868-1611
- **Mailing address phone:** (877) 298-7705
- **Mailing address fax:** (866) 837-9033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | 56072 | GA | Yes |

## Other

- **Enumeration date:** 06/04/2014
- **Last updated:** 06/04/2014