Individual
RAYMOND WAYNE COBB JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1520 MILITARY ST S, HAMILTON, AL 35570-5006
(205) 921-5499
(205) 921-0691
Mailing address
PO BOX 2087, HAMILTON, AL 35570-2087
(205) 921-5499
(205) 921-0691
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S769TA002
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000058646
MEDICARE
AL
05
—
000058646
—
AL
Enumeration date
11/04/2005
Last updated
07/21/2022
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