Cobb Nephrology Hypertension Associates, Pc

LBN: Cobb Nephrology Hypertension Associates, Pc
Cobb Nephrology Hypertension Associates, Pc is an health care organization with primary practice located at 3875 Austell Rd Suite 101, Austell GA 30106-1153. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Cobb Nephrology Hypertension Associates, Pc can be contacted via phone (678) 460-2700, or through Wollam, Edgar L via phone (678) 460-2706.

Contact Information

Primary practice address
3875 Austell Rd Suite 101 Austell GA 30106-1153
Phone: (678) 460-2700
Fax: (678) 909-3620
Website:
Map and Directions
Authorized official contact:
Name: Wollam, Edgar L Doctor of Medicine (MD)
Phone: (678) 460-2706

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1821036278
LBN Legal business name Cobb Nephrology Hypertension Associates, Pc
DBA Doing business as
Authorized official Wollam, Edgar L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 15th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821036278 NPPES
Georgia MEDICAID 000146187C
Georgia MEDICAID 300029262C
Georgia MEDICAID 000495316A
Georgia MEDICAID 300029262I
Georgia MEDICAID 000146187B
Georgia MEDICAID 300029262B
Georgia MEDICAID 000495316B
Georgia Other 03169

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