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COBB PEDIATRICS NPI 1386078152


NPI Information

NPI: 1386078152
Provider Name: COBB PEDIATRICS
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 11D0930848

Address:
3405 DALLAS HWY SW
SUITE 300
MARIETTA, GA
ZIP 30064
Phone: (770) 425-5331
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COBB PEDIATRICS is an adolescent medicine pediatrics in Marietta, GA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. COBB PEDIATRICS NPI is 1386078152. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3405 DALLAS HWY SW
SUITE 300
MARIETTA, GA
ZIP 30064-425
Phone: (770) 425-5331
Fax: (770) 425-0799

The provider's authorized official is Deedee Varner .
The authorized official title is Practice Administrator and has the following contact phone number (678) 504-1199.

The CLIA number assigned to this NPI record is 11D0930848 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/28/2013 and was last updated on 8/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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