Provider Demographics
NPI:1407143159
Name:COBLE, CANDICE HESSE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CANDICE
Middle Name:HESSE
Last Name:COBLE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:CANDICE
Other - Middle Name:LOUISE
Other - Last Name:COBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:101 SW CARY PKWY
Mailing Address - Street 2:STE 210
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5562
Mailing Address - Country:US
Mailing Address - Phone:412-303-1508
Mailing Address - Fax:
Practice Address - Street 1:101 SW CARY PKWY
Practice Address - Street 2:STE 210
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511
Practice Address - Country:US
Practice Address - Phone:919-467-8556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-02970363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical