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Organization
PHYSICIANS IMMEDIATE MED OF COBB, P.C.
Active
Organization
PHYSICIANS IMMEDIATE MED OF COBB, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA P HART (BRANCH MANAGER/CREDENTIALING)
(770) 423-0000
Entity
Organization
Contact information
Practice address
2481 GEORGE BUSBEE PKWY NW, KENNESAW, GA 30144-4961
(770) 423-0000
(770) 423-0131
Mailing address
2481 GEORGE BUSBEE PKWY NW, KENNESAW, GA 30144-4961
(770) 423-0000
(770) 423-0131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/09/2006
Last updated
02/14/2013
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