MEDICARE: ROBERT COBLE 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	207P00000X	Emergency Medicine Physician	MD9562	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00158850	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3161261	OTHER	TN	MISSISSIPPI BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4083496	OTHER	TN	BLUE CROSS

General Provider Information

NPI Number	:	1477594455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT COBLE MD

Provider Business Mailing Address
First Line	:	PO BOX 534114
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30353-4114
Country	:	US
Telephone Number	:	904-805-1300
Fax Number	:	904-805-1302

Provider Business Practice Location Address
First Line	:	103 JV MANGUBAT DR
Second Line	:
City	:	WAYNESBORO
State	:	TN
Zip	:	38485-2440
Country	:	US
Telephone Number	:	904-805-1300
Fax Number	:	904-805-1302

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	07/08/2007

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Directions to “ ROBERT COBLE MD” Practice Location

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