Provider Demographics
NPI:1215597828
Name:THE COBLE GROUP, LLC
Entity Type:Organization
Organization Name:THE COBLE GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:COBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-367-6840
Mailing Address - Street 1:3875 ROLAND HAYES PKWY SW
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-7501
Mailing Address - Country:US
Mailing Address - Phone:770-367-6840
Mailing Address - Fax:404-420-2796
Practice Address - Street 1:3875 ROLAND HAYES PKWY SW
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-7501
Practice Address - Country:US
Practice Address - Phone:770-367-6840
Practice Address - Fax:404-420-2796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty