NPI 1033522420

Cmg1, LLC

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Midland, GA

Practice location

Address: 6487 Pierce Chapel Rd Unit 5, Midland, GA 31820-3554
Phone: (877) 298-7705
Fax: (866) 837-9033
Mailing address: PO Box 1611, Phenix City, AL 36868-1611

Authorised official

Name: Stephen B Cooper
Title: Administrator
Phone: (877) 298-7705

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 56072 (GA)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Georgia →

Registry record

NPI: 1033522420
Entity type: Organization
NPI issued: 4 Jun 2014
Record last updated: 4 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.