Cobb, Tracy O
Cobb, Tracy O is an individual health care provider with primary practice located at 5354 Reynolds St Ste 422 , Savannah GA 31405-6011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cobb, Tracy O can be contacted via phone (912) 354-2634.Contact Information
Primary practice address
5354 Reynolds St Ste 422
Savannah GA 31405-6011
Phone: (912) 354-2634
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN180798 NP | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 20451 | South Carolina |
Profile Details
| NPI number | 1013383876 |
|---|---|
| LBN Legal business name | Cobb, Tracy O |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2015 |
| Last updated | Apr 17th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013383876 | NPPES |
| South Carolina | MEDICAID | PENDING | |
| South Carolina | MEDICAID | PENDING |
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