Provider Demographics
NPI:1407026818
Name:COBB, JASON (MD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:COBB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1634 PONCE DE LEON AVE NE UNIT 107
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-1626
Mailing Address - Country:US
Mailing Address - Phone:404-281-5076
Mailing Address - Fax:
Practice Address - Street 1:550 PEACHTREE STREET MOT 7TH FLOOR NEPHROLOGY
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308
Practice Address - Country:US
Practice Address - Phone:404-686-5038
Practice Address - Fax:404-686-4995
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2019-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA65750207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology