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General NPI Number Information
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NPI Number | 1609827823
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Entity Type | Organization
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Legal Business Name | COGENT HEALTHCARE OF GEORGIA PC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 400 CHARTER BLVD
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City | MACON
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State | GA
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Zip | 31210-4831
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Country | US
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Telephone | 478-757-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 1222 DEMONBREUN ST STE 1601
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City | NASHVILLE
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State | TN
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Zip | 37203-7092
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Country | US
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Telephone | 253-682-6040
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LAURA FALL
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Credential |
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Telephone | 253-682-6040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 69029
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License Number State | GA
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