# COWETA OCCUPATIONAL MEDICINE

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

## Provider details

- **NPI number:** 1386930907
- **Authorized official:** MR. JIMMY KARVELAS (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (770) 502-2121

## Contact information

- **Practice address:** 1825 HIGHWAY 34 E, SUITE 1300, NEWNAN, GA 30265-6423
- **Practice address phone:** (770) 502-2121
- **Practice address fax:** (770) 502-2113
- **Mailing address:** 1825 HIGHWAY 34 E, SUITE 1300, NEWNAN, GA 30265-6423
- **Mailing address phone:** (770) 502-2121
- **Mailing address fax:** (770) 502-2113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2011
- **Last updated:** 06/22/2011