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Individual

ANITA DIANE COBBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
410 N STATE OF FRANKLIN RD, SUITE 130, JOHNSON CITY, TN 37604-6971
(423) 431-2477
(423) 431-2478
Mailing address
410 N STATE OF FRANKLIN RD, SUITE 130, JOHNSON CITY, TN 37604-6971
(423) 431-2477
(423) 431-2478

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD30278
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225021454
VA
05
63032949
KS
05
6825938
TN
05
8906200
NC
Enumeration date
08/23/2005
Last updated
01/30/2017
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