Provider Demographics
NPI:1275129538
Name:COSBY, ANTHONY STEVEN JR (ATC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:STEVEN
Last Name:COSBY
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:320 EMERGENCY ROOM DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-5035
Mailing Address - Country:US
Mailing Address - Phone:919-966-2281
Mailing Address - Fax:
Practice Address - Street 1:91 STADIUM DR,
Practice Address - Street 2:STALLINGS EVANS SPORTS MEDICINE CENTER
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2751
Practice Address - Country:US
Practice Address - Phone:919-962-2067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer