| NPI | 1134168115 |
|---|---|
| Doing Business As | COLISEUM PRIMARY HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | MIKE MASSEY VP 478-757-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-10-01 |