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COBB GYNECOLOGIST 2 LLC NPI 1538369970


NPI Information

NPI: 1538369970
Provider Name: COBB GYNECOLOGIST 2 LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1791 MULKEY RD STE 200
AUSTELL, GA
ZIP 30106
Phone: (404) 943-0205
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COBB GYNECOLOGIST 2 LLC is a clinic center in Austell, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COBB GYNECOLOGIST 2 LLC NPI is 1538369970. The provider is registered as an organization entity type.

The provider's business location address is:

1791 MULKEY RD STE 200
AUSTELL, GA
ZIP 30106-124
Phone: (404) 943-0205

The provider's authorized official is Alicia Holden .
The authorized official title is Lead and has the following contact phone number (404) 943-0205.

The enumeration date for this NPI number is 7/24/2007 and was last updated on 7/24/2007.


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
1261Q00000XClinic/CenterYes

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: 4/28/2024

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