Organization
COOSA NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY C SMITH (OFFICE MGR)
(706) 238-5465
Entity
Organization
Contact information
Practice address
20 RIVERBEND DR SW, ROME, GA 30161-6066
(706) 295-0070
(706) 295-1618
Mailing address
20 RIVERBEND DR SW, ROME, GA 30161-6066
(706) 295-0070
(706) 295-1618
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
09/11/2009
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