Coosa Procedure Center Llc in Athens - Ambulatory Surgical
Coosa Procedure Center Llc - NPI 1821183237
Coosa Procedure Center Llc is a Ambulatory Surgical in Athens, Georgia. Coosa Procedure Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Coosa Procedure Center Llc is 1821183237. The last update date is 2018-01-08.
Coosa Procedure Center Llc's current location address is Po Box 80883, Athens, Georgia. You can contact this provider via phone number 7065498114 and fax number 7065497558. The mailing address for Coosa Procedure Center Llc is Po Box 80883, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coosa Procedure Center Llc |
|---|---|
| Address | Po Box 80883, Athens, Georgia |
| Phone Number | 7065498114 |
| Fax Number | 7065497558 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Holladay Janene Dawnetta |
| Credentials | M.D. |
| Telephone Number | 7065498114 |
NPI Number Detail
| NPI Number | 1821183237 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2018-01-08 |
Provider Mailing Address Detail
| Address | Po Box 80883 |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306080883 |
| Phone Number | 7065498114 |
| Fax Number | 7065497558 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 57288 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 196957398A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Coosa Procedure Center Llc by the Centers for Medicare & Medicaid Services?
The Coosa Procedure Center Llc has been issued the NPI (National Provider Identifier) 1821183237, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Coosa Procedure Center Llc's physical address?
The Coosa Procedure Center Llc is physically located at Po Box 80883, in the city of Athens, GA, with the postal code 306080883.
What is Coosa Procedure Center Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Coosa Procedure Center Llc is Ambulatory Surgical, and the taxonomy code that categorizes this field of expertise is 261Qa1903X.
On what date did the Coosa Procedure Center Llc receive the assignment of its 1821183237 from the Centers for Medicare & Medicaid Services?
The Coosa Procedure Center Llc was issued its 1821183237 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the details pertaining to Coosa Procedure Center Llc last refreshed?
The information related to the Coosa Procedure Center Llc, including its address, specialty, and other relevant details, was last updated on 2018-01-08.