COLISEUM PEDIATRIC AND ADOLESCENT CARE, INC

MACON, GA
NPI1437333978
Entity TypeOrganization
Authorized ContactTERESA J TRIPPE
Owner/Physician
478-743-4632
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: GA  23120)
Enumeration Date2007-12-19
Last Update Date2007-12-19
Business Address
COLISEUM PEDIATRIC AND ADOLESCENT CARE, INC
360 HOSPITAL DR BLDG D
MACON, GA 31217-3874
Phone number: 478-743-4632
Mailing Address
COLISEUM PEDIATRIC AND ADOLESCENT CARE, INC
360 HOSPITAL DR BLDG D
MACON, GA 31217-3874
Phone number: 478-743-4632
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