Rudy Theodore Cobb in Fayetteville - Surgery

Rudy Theodore Cobb - NPI 1346261989

Rudy Theodore Cobb is a Surgery in Fayetteville, Tennessee. Rudy Theodore Cobb practices all healthcare services and medical treatments related to Surgery. The NPI Number for Rudy Theodore Cobb is 1346261989. The last update date is 2010-10-22.

Rudy Theodore Cobb's current location address is 305 College St W, Fayetteville, Tennessee. You can contact this provider via phone number 9314332488 and fax number 9314332489. The mailing address for Rudy Theodore Cobb is 305 College St W, Fayetteville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Rudy Theodore Cobb
Address 305 College St W, Fayetteville, Tennessee
Phone Number 9314332488
Fax Number 9314332489
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1346261989
Provider Enumeration Date 2006-07-21
Last Updated Date 2010-10-22

Provider Mailing Address Detail

Address 305 College St W
City Fayetteville
State Tennessee (TN)
Post Code 373342911
Phone Number 9314332488
Fax Number 9314332489

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No M0011699
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3004292 TN --
40011699 TN UNITEDHEATHCARE
34725 TN BCBS OF TN
61195 TN BCBS OF AL

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FAQs about Rudy Theodore Cobb

What is the unique identifier code issued to Rudy Theodore Cobb by the Centers for Medicare & Medicaid Services?

The Rudy Theodore Cobb has been assigned the NPI (National Provider Identifier) 1346261989. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Rudy Theodore Cobb's physical address?

The Rudy Theodore Cobb is physically located at 305 College St W, in the city of Fayetteville, TN, with the postal code 373342911.

What is Rudy Theodore Cobb's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Rudy Theodore Cobb's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1346261989 to Rudy Theodore Cobb?

The Centers for Medicare & Medicaid Services originally issued the 1346261989 to Rudy Theodore Cobb on 2006-07-21.

As of what date was the information regarding Rudy Theodore Cobb, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Rudy Theodore Cobb, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-10-22.

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