Individual
KENNETH JAY SOBEL
Active
Individual
KENNETH JAY SOBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024099
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000435949B
—
GA
01
—
110064877
PALMETTO
GA
01
—
52067326
BCBSGA
GA
01
—
581854158
UHC,HUMANA, CIGNA
GA
01
—
581854158001
TRICARE
GA
01
—
E00581854158
AETNA
GA
Enumeration date
06/22/2005
Last updated
09/15/2020
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