Organization
COOSA PROCEDURE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWNETTA JANENE HOLLADAY M.D. (CEO)
(706) 549-8114
Entity
Organization
Contact information
Practice address
18 RIVERBEND DR SW STE 120, ROME, GA 30161-6019
(706) 378-1202
(706) 378-1204
Mailing address
PO BOX 80883, ATHENS, GA 30608-0883
(706) 549-8114
(706) 549-7558
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
057288
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196957398A
—
GA
Enumeration date
10/03/2006
Last updated
01/08/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us