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NPI Code Detail

MEDICARE: COBB HOSPITAL, INC

MEDICARE: COBB HOSPITAL, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1273Y00000XRehabilitation Hospital Unit033-432GA

General Provider Information

NPI Number : 1619967494
Entity Type Code : Organization
Provider Name (Legal Business Name) : COBB HOSPITAL, INC
Provider Business Mailing Address
First Line : 1800 PARKWAY PL SE STE 500
Second Line :
City : MARIETTA
State : GA
Zip : 30067-8237
Country : US
Telephone Number : 470-956-4981
Fax Number :
Provider Business Practice Location Address
First Line : 3950 AUSTELL RD
Second Line : INPATIENT REHAB UNIT/3 NORTH
City : AUSTELL
State : GA
Zip : 30106-1121
Country : US
Telephone Number : 470-644-0012
Fax Number :
Authorized Official
Title or Position : EVP
Name : MR. ANTHONY J BUDZINSKI
Credential :
Telephone Number : 470-644-0012
Provider Enumeration Date : 10/24/2005
Last Update Date : 10/31/2024

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