Cobb Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COBB MEDICAL SUPPLY, INC

Practice address

3166 Cherokee St NW Ste 101C
Kennesaw, GA 30144-2883

Phone

(678) 797-1132

NPI assigned

Jan 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Welansa Beyene

Title

Ceo

Phone

(678) 797-1132

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1942487178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 CHEROKEE ST NW STE 101C",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 CHEROKEE ST NW STE 101C",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442883",
            "telephone_number": "678-797-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "BEYENE",
        "authorized_official_first_name": "WELANSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-797-1132"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearvue Connect LLC
• Zachary Allen Clevenger, AGACNP
• Linda Clinton
• Benita R Cloward, M.S. CMHC
• Cobb County Board of Health
• Cobb Pharmacy, Inc
• Cobb Podiatry, P.C.
• Cobb Regenerative & Joint Clinic LLC
• Cobblestone Anesthesia Incorporated
• Cobblestone Surgery Center, Inc.

• Durable Medical Equipment & Medical Supplies in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.