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DR. TODD MACLIN COSSAR D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1750573176

Individual Registrant:
DR. TODD MACLIN COSSAR D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
2766 GEORGIA HIGHWAY 17  TOCCOA, GA 30577-8777 US
Tel: 706-886-9616  Fax: 706-282-0365

Contact information for business:
PO BOX 941  TOCCOA, GA 30577-1416 US
Tel: 706-886-9616  Fax: --

Registration Information:
NPI: 1750573176
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
GA5667
N111N00000XChiropractic Providers
Chiropractor
TN1324
N111N00000XChiropractic Providers
Chiropractor
NC2359

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE GROUP NUMBER511G350004GA01




HEALTH CARE JOBS GA - Page 1



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