Healthcare Provider Details

I. General information

NPI: 1437248259
Provider Name (Legal Business Name): CHRISTY GRANT KOBES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 INDIAN WELLS DR
SPARTANBURG SC
29306-6669
US

IV. Provider business mailing address

211 INDIAN WELLS DR
SPARTANBURG SC
29306-6669
US

V. Phone/Fax

Practice location:
  • Phone: 864-327-9325
  • Fax:
Mailing address:
  • Phone: 864-327-9325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberK6768
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: