MEDICARE: DR. ANNE ELISA COSSU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	01076698A	IN
2	207L00000X	Anesthesiology Physician	T2582	TX
3	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	92183	GA

General Provider Information

NPI Number	:	1871755645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE ELISA COSSU M.D.

Provider Business Mailing Address
First Line	:	2405 HENDERSON MILL RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-2137
Country	:	US
Telephone Number	:	917-543-7721
Fax Number	:

Provider Business Practice Location Address
First Line	:	2405 HENDERSON MILL RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-2137
Country	:	US
Telephone Number	:	917-543-7721
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	05/02/2025

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