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Coosa Medical Group
Specialist in Rome, Georgia
NPI 1821046863

Coosa Medical Group is a Specialist based in Rome, GA. Coosa Medical Group practices in Rome, GA. The NPI Number for Coosa Medical Group is 1821046863 and holds a License No. (Georgia).

The current practice location address for Coosa Medical Group is 126 Three Rivers Dr Ne, Rome, GA and can be reached out via phone at 706-295-0070 and via fax at 706-235-1618.

Location: 126 Three Rivers Dr Ne, Rome, GA, 30161-4999
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821046863
Provider Name
Coosa Medical Group
Credential
Provider Entity Type
Organization
Address
126 Three Rivers Dr Ne, Rome, GA, 30161-4999
Phone Number
706-295-0070
Fax Number
706-235-1618
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300029189C 05 GA
CG3794 01 GA RAILROAD MEDICARE GROUP#
300029189A 05 GA
institution
Provider Business Practice Location Address Details
Address
126 Three Rivers Dr Ne
City
Rome
State
Georgia
Zip
30161-4999
Phone Number
706-295-0070
Fax Number
706-235-1618
person
Provider Business Mailing Address Details
Address
126 Three Rivers Dr Ne
City
Rome
State
Georgia
Zip
30161-4999
Phone Number
706-295-0070
Fax Number
706-235-1618
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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