Cobb Physician Group, P.c. | |
4444 Austell Rd Suite 100 Austell GA 30106-1844 | |
(770) 948-8031 | |
(770) 948-7220 |
Full Name | Cobb Physician Group, P.c. |
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Speciality | Internal Medicine |
Location | 4444 Austell Rd, Austell, Georgia |
Authorized Official Name and Position | Jose M Figueroa (PRESIDENT) |
Authorized Official Contact | 7709488031 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cobb Physician Group, P.c. 4444 Austell Road Suite 100 Austell GA 30106 Ph: (770) 948-8031 | Cobb Physician Group, P.c. 4444 Austell Rd Suite 100 Austell GA 30106-1844 Ph: (770) 948-8031 |
NPI Number | 1417095381 |
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Provider Enumeration Date | 02/02/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7012933021 |
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Medicare Enrollment ID | O20051130000449 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417095381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C26265 (Georgia) | Primary |
Provider Name | Jose M Figueroa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265413819 PECOS PAC ID: 9234115536 Enrollment ID: I20040628000498 |
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