Organization
COLISEUM HEALTH GROUP, LLC
Active
Organization
COLISEUM HEALTH GROUP, LLC
Active
Other names
Coliseum Primary Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY PICKLER (VP)
(478) 841-2707
Entity
Organization
Contact information
Practice address
360 HOSPITAL DR, SUITE 110, MACON, GA 31217-3874
(478) 841-2707
Mailing address
360 HOSPITAL DR, SUITE 110, MACON, GA 31217-3874
(478) 841-2707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/07/2006
Last updated
04/20/2008
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