Grace Family Practice

LBN: Coliseum Health Group, Llc
Grace Family Practice is an health care organization with primary practice located at 420 Charter Blvd Suite 304, Macon GA 31210-4854. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Coliseum Health Group, Llc can be contacted via phone (478) 405-0280, or through Pickett, Mark via phone (478) 405-0280.

Contact Information

Primary practice address
420 Charter Blvd Suite 304 Macon GA 31210-4854
Phone: (478) 405-0280
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pickett, Mark
Phone: (478) 405-0280

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1043254360
LBN Legal business name Coliseum Health Group, Llc
DBA Doing business as Grace Family Practice
Authorized official Pickett, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 29th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers