Cobb, Mark A

Cobb, Mark A is an individual health care provider with primary practice located at 1222 Trotwood Ave Suite 302, Columbia TN 38401-6436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Cobb, Mark A can be contacted via phone (931) 490-7193.

Contact Information

Primary practice address
1222 Trotwood Ave Suite 302 Columbia TN 38401-6436
Phone: (931) 490-7193
Fax: (931) 490-7196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01046481 Indiana
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD48134 Tennessee

Profile Details

NPI number 1336144245
LBN Legal business name Cobb, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 10th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336144245 NPPES
Indiana MEDICAID 200147430
Indiana MEDICAID 3710089

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