Individual
DR. AMANDA JANETTE COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
27900 N MAIN ST, DAPHNE, AL 36526-7009
(251) 621-1211
(251) 621-9052
Mailing address
27900 N MAIN ST, DAPHNE, AL 36526-7009
(251) 621-1211
(251) 621-9052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C55
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S-C55
ALABAMA BOARD OF OPTOMETRY
AL
Enumeration date
06/27/2011
Last updated
06/27/2011
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