MEDICARE: DR. ANNA MARIE KOSA DC

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	111N00000X	Chiropractor	CHIRO06273	GA

General Provider Information

NPI Number	:	1104827328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA MARIE KOSA DC

Provider Business Mailing Address
First Line	:	75 ROSWELL ST
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-1929
Country	:	US
Telephone Number	:	770-777-9366
Fax Number	:	770-777-7457

Provider Business Practice Location Address
First Line	:	75 ROSWELL ST
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-1929
Country	:	US
Telephone Number	:	770-777-9366
Fax Number	:	770-777-7457

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/09/2007

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Directions to “ DR. ANNA MARIE KOSA DC” Practice Location

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