Organization
COSSAR CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD MACLIN COSSAR D.C. (CHIRIPRACTOR)
(706) 886-9616
Entity
Organization
Contact information
Practice address
2766 GA HWY 17, TOCCOA, GA 30577
(706) 886-9616
(706) 282-0365
Mailing address
PO BOX 941, TOCCOA, GA 30577-1416
(706) 886-9616
(706) 282-0365
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5667
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511G350004
MEDICARE GROUP NUMBER
GA
Enumeration date
01/19/2011
Last updated
01/19/2011
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