Cobb, Serena

Cobb, Serena is an individual health care provider with primary practice located at 242 Flinchum Pl , Lexington SC 29073-6987. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cobb, Serena can be contacted via phone (803) 669-1622.

Contact Information

Primary practice address
242 Flinchum Pl Lexington SC 29073-6987
Phone: (803) 669-1622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20753 South Carolina

Profile Details

NPI number 1396286431
LBN Legal business name Cobb, Serena
Credentials APRN-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2017
Last updated Jun 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396286431 NPPES
South Carolina MEDICAID NP4803

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