Individual
DR. JOHNNY LEE COSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4721 26TH AVE, MERIDIAN, MS 39305-4703
(601) 485-2020
Mailing address
3701 ESPEY HEDGEPETH RD, BAILEY, MS 39320-9705
(601) 934-2231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S992TA577
AL
Other
Enumeration date
01/25/2006
Last updated
06/08/2023
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