Todd Maclin Cossar, D.C.

Individual provider Active NPI Chiropractor · Toccoa, GA

NPI 1750573176 · NPPES record last updated Jan 11, 2011

Key facts

NPI
1750573176
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
5667 (GA)
Practice address
2766 Georgia Highway 17
Toccoa, GA 30577-8777
Phone
(706) 886-9616
Fax
(706) 282-0365
NPI assigned
Aug 10, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1324TNMDMarriage & Family Therapist
5667GAMDChiropractor
2359NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Towne Doctor, PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5667 GA Yes
Chiropractor 111N00000X 1324 TN
Chiropractor 111N00000X 2359 NC

Addresses

Primary practice location

2766 Georgia Highway 17
Toccoa, GA 30577-8777

Mailing address

PO Box 941
Toccoa, GA 30577-1416
Phone (706) 886-9616

Other identifiers

IdentifierTypeStateIssuer
511G350004OtherGAMEDICARE GROUP NUMBER

Other providers in Toccoa, GA

All providers in Toccoa, GA · Chiropractor in Georgia

Sources for this page

Verify at the official NPI Registry.