Individual
MARY LYNN COBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1212 KOGER CENTER BLVD, NORTH CHESTERFIELD, VA 23235-4778
(804) 897-2100
(807) 897-9074
Mailing address
1212 KOGER CENTER BLVD, NORTH CHESTERFIELD, VA 23235-4778
(804) 897-2100
(807) 897-9074
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101236007
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010078342
—
VA
Enumeration date
02/27/2006
Last updated
02/11/2022
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