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Coosa Procedure Center Llc
Ambulatory Surgical Clinic/Center in Rome, Georgia
NPI 1821183237

Coosa Procedure Center Llc is an Ambulatory Surgical Clinic/Center based in Athens, GA and is specialized in Ambulatory Surgical. Coosa Procedure Center Llc practices in Rome, GA. The NPI Number for Coosa Procedure Center Llc is 1821183237 and holds a License No. 057288 (Georgia).

The current practice location address for Coosa Procedure Center Llc is 18 Riverbend Dr Sw Ste 120, Rome, GA and can be reached out via phone at 706-378-1202 and via fax at 706-378-1204.

Location: 18 Riverbend Dr Sw Ste 120, Rome, GA, 30608-0883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821183237
Provider Name
Coosa Procedure Center Llc
Credential
Provider Entity Type
Organization
Address
18 Riverbend Dr Sw Ste 120, Rome, GA, 30608-0883
Phone Number
706-378-1202
Fax Number
706-378-1204
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
196957398A 05 GA
institution
Provider Business Practice Location Address Details
Address
18 Riverbend Dr Sw Ste 120
City
Rome
State
Georgia
Zip
30161-6019
Phone Number
706-378-1202
Fax Number
706-378-1204
person
Provider Business Mailing Address Details
Address
18 Riverbend Dr Sw Ste 120
City
Rome
State
Georgia
Zip
30161-6019
Phone Number
706-378-1202
Fax Number
706-378-1204
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
057288 (Georgia)
Definition
Definition to come...
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