Organization
WEST COBB UROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP R RAST M.D. (PRESIDENT)
(770) 739-2474
Entity
Organization
Contact information
Practice address
1605 MULKEY RD, BLDG 2, SUITE 210, AUSTELL, GA 30106-1127
(770) 739-2474
(770) 944-6357
Mailing address
1605 MULKEY RD, BLDG 2, SUITE 210, AUSTELL, GA 30106-1127
(770) 739-2474
(770) 944-6357
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29366
GA
Other
Enumeration date
08/21/2006
Last updated
02/21/2008
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