Individual
JENNIFER COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
130 CHAMPLAIN ST, DECATUR, GA 30030-1803
(404) 245-8919
Mailing address
130 CHAMPLAIN ST, DECATUR, GA 30030-1803
(404) 245-8919
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN200608
GA
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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