| NPI | 1922171081 | 
|---|---|
| Former Legal Business Name | COBB GYN CLINIC, P.A. | 
| Entity Type | Organization | 
| Authorized Contact | TERESA L FRANK Office Manager 770-577-7030 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 014251) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 015528) | 
| Enumeration Date | 2006-11-16 | 
| Last Update Date | 2010-09-28 |