# COBB MEDICAL ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1831277987
- **Authorized official:** DONNA JETER (MANAGER)
- **Authorized official phone:** (770) 437-6910

## Contact information

- **Practice address:** 3903 S COBB DR SE, SUITE 200, SMYRNA, GA 30080-6342
- **Practice address phone:** (770) 437-6910
- **Practice address fax:** (770) 433-2380
- **Mailing address:** 3903 S COBB DR SE, SUITE 200, SMYRNA, GA 30080-6342
- **Mailing address phone:** (770) 437-6910
- **Mailing address fax:** (770) 433-2380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | GA | Yes |
| 207R00000X | Internal Medicine Physician | — | GA | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | GA | — |
| 208M00000X | Hospitalist Physician | — | GA | — |
| 363AM0700X | Medical Physician Assistant | — | GA | — |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 03/06/2008