Cobb, Stacey M

Cobb, Stacey M is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Ste 210 , Columbia SC 29203-6859. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Cobb, Stacey M can be contacted via phone (803) 434-6598.

Contact Information

Primary practice address
9 Richland Medical Park Dr Ste 210 Columbia SC 29203-6859
Phone: (803) 434-6598
Fax: (803) 434-1920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X MD 35039 South Carolina

Profile Details

NPI number 1669615332
LBN Legal business name Cobb, Stacey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2009
Last updated Mar 21st, 2018 - about 6 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 1669615332 NPPES
South Carolina MEDICAID 350391

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