Organization
COGENT HEALTHCARE OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FALL (MANAGER)
(253) 682-6040
Entity
Organization
Contact information
Practice address
400 CHARTER BLVD, MACON, GA 31210-4831
(478) 757-8200
Mailing address
1222 DEMONBREUN ST STE 1601, NASHVILLE, TN 37203-7092
(253) 682-6040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
69029
GA
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
443109614A
—
GA
Enumeration date
05/12/2006
Last updated
12/03/2025
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