Healthcare Provider Details

I. General information

NPI: 1861696221
Provider Name (Legal Business Name): ETHEL MARIE COBBETT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 WILSON PIKE CIR STE 209
BRENTWOOD TN
37027-2707
US

IV. Provider business mailing address

2441Q OLD FORT PKWY # 319
MURFREESBORO TN
37128-4162
US

V. Phone/Fax

Practice location:
  • Phone: 629-800-5943
  • Fax: 629-800-5950
Mailing address:
  • Phone: 901-674-7219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD0000046509
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number46509
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: