Healthcare Provider Details

I. General information

NPI: 1679505739
Provider Name (Legal Business Name): JAMES ROBERT COBB JR. D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

284 MILLER LN
OWENS CROSS ROADS AL
35763-9316
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 938-225-9409
  • Fax: 601-249-1173
Mailing address:
  • Phone: 938-225-9409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number15317
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO450
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: