COBB COUNTY BOARD OF HEALTH NPI 1649366436

NPI Information

NPI: 1649366436
Provider Name: COBB COUNTY BOARD OF HEALTH

Doing Business As: COBB & DOUGLAS PUBLIC HEALTH

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
1650 COUNTY SERVICES PKWY SW
MARIETTA, GA
ZIP 30008
Phone: (770) 514-2817
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COBB COUNTY BOARD OF HEALTH is a public health and state or local clinic center in Marietta, GA. COBB COUNTY BOARD OF HEALTH NPI is 1649366436. The provider is registered as an organization entity type.
The provider Is Doing Business As Cobb & Douglas Public Health.

The provider's business location address is:

1650 COUNTY SERVICES PKWY SW
MARIETTA, GA
ZIP 30008-010
Phone: (770) 514-2817
Fax: (770) 514-2806

The provider's authorized official is Alpha F Bryan .
The authorized official title is District Health Director and has the following contact phone number (770) 514-2330.

The CLIA number assigned to this NPI record is 11D0669299 - other - public health ctr with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0905X	Clinic/Center	Public Health, State or Local			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00568301G	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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