Healthcare Provider Details

I. General information

NPI: 1558418442
Provider Name (Legal Business Name): CHERYL MCGARY COBB MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 03/26/2022
Certification Date: 03/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 21ST AVE S STE 2200
NASHVILLE TN
37212-3137
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-2830
  • Fax:
Mailing address:
  • Phone: 615-936-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number45377
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number45377
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: