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Individual

ROBERT COBLE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
103 JV MANGUBAT DR, WAYNESBORO, TN 38485-2440
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 534114, ATLANTA, GA 30353-4114
(904) 805-1300
(904) 805-1302

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD9562
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3161261
MISSISSIPPI BLUE CROSS
TN
05
3161261
TN
01
4083496
BLUE CROSS
TN
01
P00158850
RAILROAD MEDICARE
TN
Enumeration date
06/09/2006
Last updated
07/08/2007
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