OrganizationEast Cobb Medical Clinic, LlcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address3750 Palladian Village Dr, Ste 400, Marietta, GA 30066-8200(770) 924-2252PECOS EnrollmentBased on the most recent information from CMS, provider East Cobb Medical Clinic, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1669502480Provider TypeOrganizationFull NameEast Cobb Medical Clinic, LlcSubpartNoEnumeration Date3/7/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address3750 Palladian Village Dr, Ste 400, Marietta, GA 30066-8200Phone(770) 924-2252FaxUnlisted FaxMailing LocationMailing Address3750 Palladian Village Dr, Ste 400, Marietta, GA 30066-8200Phone(770) 924-2252FaxUnlisted FaxAuthorized OfficialNameIrungu, James K (Credentialling Manager)Phone(770) 924-2252Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense049588Georgia