Individual
DR. SAMUEL COBARRUBIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 CARSWELL ST, HOMERVILLE, GA 31634-2413
(912) 487-1654
(912) 487-1659
Mailing address
PO BOX 28, HOMERVILLE, GA 31634-0028
(912) 487-1654
(912) 487-1659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045748
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000808519A
—
GA
Enumeration date
03/18/2006
Last updated
05/02/2015
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