Provider Demographics
NPI:1164429627
Name:COBB, JOHN T (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
Last Name:COBB
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5901A PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:STE 500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5382
Mailing Address - Country:US
Mailing Address - Phone:678-892-2020
Mailing Address - Fax:678-538-1950
Practice Address - Street 1:5995 BARFIELD RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4411
Practice Address - Country:US
Practice Address - Phone:404-256-1507
Practice Address - Fax:404-256-1981
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2020-09-24
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Provider Licenses
StateLicense IDTaxonomies
GA023577207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00274227GMedicaid
GA0890552OtherUHC
GA294523OtherWELLCARE
GA480043OtherAETNA HMO
GA582209517OtherWORK COMP
GA180025355OtherRR MEDICARE
GA1078920002OtherDME
GA814300OtherBCBS
GA02542OtherCOVENTRY PPO
GA0818950001OtherDME
GA00274227HMedicaid
GA4030718OtherAETNA
GA5879OtherCOVENTRY HMO
GA149418OtherBCBS
GA00274227HMedicaid
GA02542OtherCOVENTRY PPO
GAD39612Medicare UPIN