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Contact Information

EAST COBB PEDIATRICS AND ADOLESCENT MEDICINE, PC
1121 JOHNSON FERRY RD
SUITE 220
MARIETTA, GA30068-5425
 Phone: 770-977-0094
 Fax: 770-509-5177
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for EAST COBB PEDIATRICS AND ADOLESCENT MEDICINE PC · (Female)

NPI # 1841337896
Status Active
Credentials
Entity Individual
Enumeration date 01/31/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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