Organization
EAST COBB MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K IRUNGU (CREDENTIALLING MANAGER)
(770) 924-2252
Entity
Organization
Contact information
Practice address
3750 PALLADIAN VILLAGE DR, STE 400, MARIETTA, GA 30066-8200
(770) 924-2252
Mailing address
3750 PALLADIAN VILLAGE DR, STE 400, MARIETTA, GA 30066-8200
(770) 924-2252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049588
GA
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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