Individual
DONALD KEITH COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
89 INTERCHANGE DR, RICHMOND HILL, GA 31324-7661
(912) 756-4740
(912) 756-4740
Mailing address
89 INTERCHANGE DR, RICHMOND HILL, GA 31324-7661
(912) 756-2292
(912) 756-2289
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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