Organization
GEORGIA PRO-HEALTH PARTNERS LLC
Active
Other names
South Cobb Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
TODD KOHOUT (MANAGING MEMBER)
(404) 432-0234
Entity
Organization
Contact information
Practice address
3065 S COBB DR SE, SUITE B, SMYRNA, GA 30080-7809
(770) 432-1164
Mailing address
PO BOX 5700, ALPHARETTA, GA 30023-5700
(404) 432-0234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2011
Last updated
01/27/2011
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