Organization
COBB GYN CLINIC, P.C.
Active
Other names
Cobb Gyn Clinic, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA L FRANK (OFFICE MANAGER)
(770) 577-7030
Entity
Organization
Contact information
Practice address
3327 HIGHWAY 5, DOUGLASVILLE, GA 30135-6844
(770) 577-7030
(770) 577-6844
Mailing address
3327 HIGHWAY 5, DOUGLASVILLE, GA 30135-2307
(770) 577-7030
(770) 577-6844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
015528
GA
207VG0400X
Gynecology Physician
Primary
014251
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00065029A
—
GA
Enumeration date
11/16/2006
Last updated
09/28/2010
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