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 |