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Individual

MARK A COBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1222 TROTWOOD AVE, SUITE 302, COLUMBIA, TN 38401-6436
(931) 490-7193
(931) 490-7196
Mailing address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
01046481
IN
207T00000X
Neurological Surgery Physician
Primary
MD48134
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200147430
IN
05
3710089
TN
Enumeration date
06/16/2005
Last updated
01/10/2013
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