Healthcare Provider Details

I. General information

NPI: 1114860053
Provider Name (Legal Business Name): HANNAH COBB
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 PRINCETON AVE SW
BIRMINGHAM AL
35211-1323
US

IV. Provider business mailing address

8109 GOOSE RIDGE DR SE
OWENS CROSS ROADS AL
35763-8973
US

V. Phone/Fax

Practice location:
  • Phone: 205-599-4823
  • Fax:
Mailing address:
  • Phone: 334-275-5016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: