| South Cobb Pain Management | |
|
3065 S Cobb Dr Se Suite B Smyrna GA 30080-7809 | |
| (770) 432-1164 | |
| Not Available |
| Full Name | South Cobb Pain Management |
|---|---|
| Speciality | Family Medicine |
| Location | 3065 S Cobb Dr Se, Smyrna, Georgia |
| Authorized Official Name and Position | Todd Kohout (MANAGING MEMBER) |
| Authorized Official Contact | 4044320234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Cobb Pain Management Po Box 5700 Alpharetta GA 30023-5700 Ph: (404) 432-0234 | South Cobb Pain Management 3065 S Cobb Dr Se Suite B Smyrna GA 30080-7809 Ph: (770) 432-1164 |
| NPI Number | 1477858736 |
|---|---|
| Provider Enumeration Date | 01/18/2011 |
| Last Update Date | 01/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477858736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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