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NPI Code Detail

MEDICARE: ERIC DUANE COBB

MEDICARE: ERIC DUANE COBB
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
1207R00000XInternal Medicine Physician83598SC

General Provider Information

NPI Number : 1417521964
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC DUANE COBB
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 14 RICHLAND MEDICAL PARK DR STE 320
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6896
Country : US
Telephone Number : 803-434-6771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2021
Last Update Date : 02/11/2026

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Directions to “ ERIC DUANE COBB ” Practice Location

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