| Cobb Internal Medicine Associates | |
|
2655 Dallas Hwy Sw Suite 340 Marietta GA 30064-2597 | |
| (678) 797-9800 | |
| (678) 797-9801 |
| Full Name | Cobb Internal Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 2655 Dallas Hwy Sw, Marietta, Georgia |
| Authorized Official Name and Position | Seema Hisamuddin (PRESIDENT) |
| Authorized Official Contact | 6787979800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cobb Internal Medicine Associates 2655 Dallas Hwy Sw Suite 340 Marietta GA 30064-2597 Ph: (678) 797-9800 | Cobb Internal Medicine Associates 2655 Dallas Hwy Sw Suite 340 Marietta GA 30064-2597 Ph: (678) 797-9800 |
| NPI Number | 1902053507 |
|---|---|
| Provider Enumeration Date | 08/26/2008 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 8123186921 |
|---|---|
| Medicare Enrollment ID | O20081023000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902053507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 045826 (Georgia) | Primary |
| Provider Name | Mohsin M Hisamuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740212240 PECOS PAC ID: 7517961568 Enrollment ID: I20060905000284 |
| Provider Name | Seema M Hisamuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497787998 PECOS PAC ID: 7416951462 Enrollment ID: I20060905000293 |
| Provider Name | Jennifer Dudley Filer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609446590 PECOS PAC ID: 5193115921 Enrollment ID: I20211209000848 |
| Provider Name | Abby Michelle Starstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316910110 PECOS PAC ID: 1355360231 Enrollment ID: I20240228002898 |
| Provider Name | Jada Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952097578 PECOS PAC ID: 3577092055 Enrollment ID: I20250129000376 |
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