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Terry Lamar Cobb
Contractor in Moultrie, Georgia
NPI 1184656332

Terry Lamar Cobb is a Contractor based in Moultrie, GA. Terry Lamar Cobb practices in Moultrie, GA. The NPI Number for Terry Lamar Cobb is 1184656332 and holds a License No. 20017139030 (Georgia).

The current practice location address for Terry Lamar Cobb is 1321 S Main St, Moultrie, GA and can be reached out via phone at 229-985-2273 and via fax at 229-985-2270.

Location: 1321 S Main St, Moultrie, GA, 31768-5809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184656332
Provider Name
Terry Lamar Cobb
Credential
Provider Entity Type
Individual
Gender
Male
Address
1321 S Main St, Moultrie, GA, 31768-5809
Phone Number
229-985-2273
Fax Number
229-985-2270
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52704189001 01 GA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1321 S Main St
City
Moultrie
State
Georgia
Zip
31768-5809
Phone Number
229-985-2273
Fax Number
229-985-2270
person
Provider Business Mailing Address Details
Address
1321 S Main St
City
Moultrie
State
Georgia
Zip
31768-5809
Phone Number
229-985-2273
Fax Number
229-985-2270
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
20017139030 (Georgia)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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