Provider Demographics
NPI:1154649754
Name:COBB, ANTHONY PAUL
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:PAUL
Last Name:COBB
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 MILL ST
Mailing Address - Street 2:
Mailing Address - City:SNOW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28580-1419
Mailing Address - Country:US
Mailing Address - Phone:252-747-4327
Mailing Address - Fax:252-747-4327
Practice Address - Street 1:107 MILL ST
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:NC
Practice Address - Zip Code:28580-1419
Practice Address - Country:US
Practice Address - Phone:252-747-4327
Practice Address - Fax:252-747-4327
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-07
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1056237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist