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STEPHANIE C. COBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4022 POSTAL WAY STE C, MYRTLE BEACH, SC 29579-3537
(843) 903-4111
(843) 903-4242
Mailing address
300 SINGLETON RIDGE RD, ATTN PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.074820
IL
208000000X
Pediatrics Physician
Primary
87785
SC

Other

Enumeration date
03/19/2019
Last updated
08/11/2022
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