MEDICARE: COBB HOSPITAL, INC

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
1	273Y00000X	Rehabilitation Hospital Unit	033-432	GA

General Provider Information

NPI Number	:	1619967494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COBB HOSPITAL, INC

Provider Business Mailing Address
First Line	:	1800 PARKWAY PL SE STE 500
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30067-8237
Country	:	US
Telephone Number	:	470-956-4981
Fax Number	:

Provider Business Practice Location Address
First Line	:	3950 AUSTELL RD
Second Line	:	INPATIENT REHAB UNIT/3 NORTH
City	:	AUSTELL
State	:	GA
Zip	:	30106-1121
Country	:	US
Telephone Number	:	470-644-0012
Fax Number	:

Authorized Official
Title or Position	:	EVP
Name	:	MR. ANTHONY J BUDZINSKI
Credential	:
Telephone Number	:	470-644-0012

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	10/31/2024

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Directions to “COBB HOSPITAL, INC ” Practice Location

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