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Individual

DR. HERBERT E KOSMAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
795 RED BUD RD NE, CALHOUN, GA 30701-1966
(706) 629-1852
(706) 629-8004
Mailing address
795 RED BUD RD NE, CALHOUN, GA 30701-1966
(706) 629-1852
(706) 629-8004

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000501
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000253877B
GA
01
1390435
CCN/FIRST HEALTH NETWORK
GA
01
154908
BLUE CROSS BLUE SHIELD OF GEORGIA
GA
01
2512650
CIGNA HEALTHCARE
01
267333
GREAT WEST LIFE
01
480000726
RAILROAD MEDICARE
GA
Enumeration date
12/20/2006
Last updated
02/26/2016
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