Organization
SAMUEL B COBARRUBIAS MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL COBARRUBIAS MD (PRESIDENT)
(912) 487-1654
Entity
Organization
Contact information
Practice address
180 CARSWELL ST, HOMERVILLE, GA 31634-2413
(912) 487-1654
Mailing address
PO BOX 28, HOMERVILLE, GA 31634-0028
(912) 487-1654
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1002
GA
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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