COLISEUM HEALTH GROUP LLC NPI 1154363745

NPI Information

COLISEUM HEALTH GROUP LLC is a family medicine in Gray, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COLISEUM HEALTH GROUP LLC NPI is 1154363745. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gray Family Health.

The provider's business location address is:

110 STONE BROOKE DR
GRAY, GA
ZIP 31032-865
Phone: (478) 986-4743

The provider's authorized official is Mickey Pickler .
The authorized official title is Vp and has the following contact phone number (615) 373-7600.

The CLIA number assigned to this NPI record is 11D0914701 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/11/2006 and was last updated on 2/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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