# TY COBB MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508126541
- **Authorized official:** JOHN STEVEN BARBER (CFO)
- **Authorized official phone:** (706) 245-1936

## Contact information

- **Practice address:** 461 COOK ST, ROYSTON, GA 30662-4003
- **Practice address phone:** (706) 245-1936
- **Mailing address:** PO BOX 589, ROYSTON, GA 30662-0589
- **Mailing address phone:** (706) 245-1936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | — | NULL | Yes |
| 173000000X | Legal Medicine | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2012
- **Last updated:** 05/24/2012