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General NPI Number Information
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NPI Number | 1346383791
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Entity Type | Organization
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Legal Business Name | COWETA OCCUPATION MEDICINE
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1755 HIGHWAY 34 E SUITE 2400
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City | NEWNAN
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State | GA
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Zip | 30265-5631
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Country | US
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Telephone | 770-502-2112
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Fax |
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Provider Business Mailing Address
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Address Line | 1755 HIGHWAY 34 E SUITE 2400
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City | NEWNAN
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State | GA
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Zip | 30265-5631
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Country | US
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Telephone | 770-502-2112
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARRY W MORGAN
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Credential | MD
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Telephone | 770-502-2112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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