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Ty Cobb Healthcare System, Inc.

Ty Cobb Healthcare System, Inc. is a health care provider in Lavonia, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 29 Clear Creek Pkwy, Lavonia, GA 30553-4172, US
Practice Location Phone877-485-5718
Practice Location Fax706-356-7403
Legal Business NameTY COBB HEALTHCARE SYSTEM, INC.
Other Organization NameHOME BASE HEALTH SERVICES
Other Organization Name TypeDoing Business As Name
NPI ?1215959341
Entity TypeOrganization
Enumeration Date ? Jul 25, 2006
Last Update Date ? Aug 14, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ty Cobb Healthcare System, Inc.

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies

legacy-id-icon Legacy Provider IDs of Ty Cobb Healthcare System, Inc.

Provider IdIssuer StateIssuer TypeIssuer
52448230GeorgiaOtherBCBS OF GEORGIA
000059562CGeorgiaMedicaid

official-icon Authorized Official of Ty Cobb Healthcare System, Inc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Ty Cobb Healthcare System, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Matt R Mcree
Authorized Official Title/PositionCFO
Authorized Official Phone Number706-356-7456