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Contact Information

CLARA COBB, MD
227 ARROWHEAD TRL
KINGSTON, TN37763-7003
 Phone: 865-376-4205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CLARA COBB · (Female)

NPI Number 1821138397
Status Active
Credentials MD
Entity Individual
Enumeration date 02/07/2007
Last updated 09/26/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # MD18478
  • TN Other HEALTHSOURCE 014F17649
  • TN Other 134107 BLACK LUNG
  • TN Other 3048821 BLUE CROSS BLUE SHIELD TN
  • TN Other 621658077 CHAMPUS
  • TN Other 7525265 CIGNA
  • TN Other MD18478 MEDICAL LICENSE #
  • TN Other 76828 PHP CARITEN
  • TN Other 100021685 PHP TENNCARE
  • TN Other 220019758 RR MEDICARE
  • TN Other 62159 SIGNATURE HEALTH ALLIANCE
  • TN Other 62-1658-77 TAX ID#
  • TN Other 1520556 UNITED MINE WORKERS
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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