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Organization

COWETA EMERGENCY PHYSICIANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSS E. GREENBERG MD (EXECUTIVE MEDICAL DIRECTOR)
(706) 354-5770
Entity
Organization

Contact information

Practice address
60 HOSPITAL RD, NEWNAN, GA 30263-1210
(706) 354-5770
(706) 354-5770
Mailing address
7982 MACON HWY, WATKINSVILLE, GA 30677-2044
(706) 354-5770
(706) 354-5769

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10032525
AMERIGROUP MEDICAID
GA
Enumeration date
01/15/2007
Last updated
08/22/2020
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