Organization
COBB PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG L LEBISH M.D. (PHYSICIAN OWNER)
(678) 504-1199
Entity
Organization
Contact information
Practice address
5041 DALLAS HWY, BLDG. 2, STE.D, POWDER SPRINGS, GA 30127
(770) 425-5331
(770) 425-0799
Mailing address
410 VILLA RICA WAY, MARIETTA, GA 30064
(678) 504-1199
(678) 504-1175
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
028948
GA
Other
Enumeration date
01/15/2007
Last updated
10/10/2011
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