# KOSOBUCKI FAMILY MEDICINE, P.C.

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

## Provider details

- **NPI number:** 1487735056
- **Authorized official:** DR. DANIEL E KOSOBUCKI (PHYSICIAN)
- **Authorized official phone:** (706) 321-9486

## Contact information

- **Practice address:** 2008 WYNNTON RD, COLUMBUS, GA 31906-2407
- **Practice address phone:** (706) 321-9486
- **Practice address fax:** (706) 321-8891
- **Mailing address:** 2008 WYNNTON RD, COLUMBUS, GA 31906-2407
- **Mailing address phone:** (706) 321-9486
- **Mailing address fax:** (706) 321-8891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 045857 | GA | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 02/04/2014