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WANDA COBB

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1871930214

Individual Registrant:
 WANDA  COBB 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1100 S JACKSON HWY STE 105  SHEFFIELD, AL 35660-5769 US
Tel: 256-386-4066  Fax: --

Contact information for business:
PO BOX 11407 DEPT#5839 BIRMINGHAM, AL 35246 US
Tel: 256-386-4066  Fax: 256-386-4067

Registration Information:
NPI: 1871930214
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
TN17657

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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