Individual
DONALD KEITH COBB
Active
Individual
DONALD KEITH COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
039759
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000696638B
—
GA
05
—
000696638F
—
GA
01
—
10063650
AMERIGROUP
GA
01
—
110214354
RAILROAD MEDICARE
—
01
—
349738
WELLCARE
GA
01
—
582162071019
CHAMPUS
—
01
—
821615
BLUE CROSS BLUE SHIELD
GA
Enumeration date
06/16/2006
Last updated
11/10/2020
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