Individual
BRENT ENSLEY COBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3649 FLAKES MILL RD, DECATUR, GA 30034-5218
(770) 322-2387
Mailing address
2163 RIVER ACRES CT, LITHONIA, GA 30058-5042
(360) 420-6706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029481
GA
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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