Individual
DR. JASON MICHAEL COBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404 SE MAIN ST, SIMPSONVILLE, SC 29681-2652
(864) 228-1168
(864) 228-1169
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 228-1168
(864) 228-1169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36054
SC
Other
Enumeration date
06/04/2013
Last updated
09/22/2016
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