MEDICARE: DR. JANET WHITE COBB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35062542	OH

General Provider Information

NPI Number	:	1083759096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET WHITE COBB MD

Provider Business Mailing Address
First Line	:	10972 ASHLEIGH CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-2370
Country	:	US
Telephone Number	:	513-771-5515
Fax Number	:

Provider Business Practice Location Address
First Line	:	2702 E KEMPER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-1818
Country	:	US
Telephone Number	:	213-771-2233
Fax Number	:	513-612-3572

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/08/2007

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