Healthcare Provider Details

I. General information

NPI: 1659463388
Provider Name (Legal Business Name): SHARONE L COBB RN, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARONE L COBB-DEAN RN, MPH

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 HENRY ST SUITE 100-B
GREENSBORO NC
27405-4961
US

IV. Provider business mailing address

4403 KINGSLAND DR
GREENSBORO NC
27455-1911
US

V. Phone/Fax

Practice location:
  • Phone: 336-954-1007
  • Fax: 336-954-1183
Mailing address:
  • Phone: 336-286-1237
  • Fax: 336-954-1183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number102027
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: