Organization
HERBERT E. KOSMAHL DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT E KOSMAHL D.P.M. (OWNER & SENIOR PHYSICIAN)
(706) 629-1852
Entity
Organization
Contact information
Practice address
795 RED BUD RD NE, CALHOUN, GA 30701-1966
(706) 629-1852
(706) 629-8004
Mailing address
795 RED BUD RD NE, CALHOUN, GA 30701-1966
(706) 629-1852
(706) 629-8004
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300028755B
—
GA
01
—
507144
BCBS GROUP #
GA
01
—
CD0240
RAILROAD MEDICARE GROUP #
GA
Enumeration date
01/09/2007
Last updated
04/08/2011
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