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COBB GYN CLINIC P.C. NPI 1922171081


NPI Information

NPI: 1922171081
Provider Name: COBB GYN CLINIC, P.C.

Former Legal Business Name: COBB GYN CLINIC, P.A.

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
3327 HIGHWAY 5
DOUGLASVILLE, GA
ZIP 30135
Phone: (770) 577-7030
Get Directions

COBB GYN CLINIC, P.C. is a gynecology obstetrics gynecology in Douglasville, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee COBB GYN CLINIC, P.C. NPI is 1922171081. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Cobb Gyn Clinic, P.a..

The provider's business location address is:

3327 HIGHWAY 5
DOUGLASVILLE, GA
ZIP 30135-844
Phone: (770) 577-7030
Fax: (770) 577-6844

The provider's authorized official is Teresa L Frank .
The authorized official title is Office Manager and has the following contact phone number (770) 577-7030.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 9/28/2010.


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 Medicine015528GEORGIANo
2207VG0400XObstetrics & GynecologyGynecology014251GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100065029AMEDICAIDGEORGIA
2253781533AMEDICARE UPINGEORGIA

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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