Organization
CARLOS COSSIO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS COSSIO MD (MEDICAL DIRECTOR/PHYSICIAN)
(716) 613-0313
Entity
Organization
Contact information
Practice address
1077 BAXTER ST, SUITE K, ATHENS, GA 30606-3767
(706) 613-0313
(706) 613-0229
Mailing address
1077 BAXTER ST, SUITE K, ATHENS, GA 30606-3767
(706) 613-0313
(706) 613-0229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036127
GA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
036127
GA
207RN0300X
Nephrology Physician
036127
GA
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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