| NPI | 1912947367 |
|---|---|
| Doing Business As | COLISEUM PRIMARY HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | MICKEY PICKLER VP 478-841-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-04-20 |