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EAST COBB MEDICAL CLINIC LLC NPI 1669502480


NPI Information

NPI: 1669502480
Provider Name: EAST COBB MEDICAL CLINIC, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3750 PALLADIAN VILLAGE DR
STE 400
MARIETTA, GA
ZIP 30066
Phone: (770) 924-2252
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EAST COBB MEDICAL CLINIC, LLC is a family medicine in Marietta, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EAST COBB MEDICAL CLINIC, LLC NPI is 1669502480. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3750 PALLADIAN VILLAGE DR
STE 400
MARIETTA, GA
ZIP 30066-200
Phone: (770) 924-2252

The provider's authorized official is James K Irungu .
The authorized official title is Credentialling Manager and has the following contact phone number (770) 924-2252.

The enumeration date for this NPI number is 3/7/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine049588GEORGIAYes

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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