Provider Demographics
NPI:1982675997
Name:COMBES OSACAR, ANA (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:COMBES OSACAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4581 S COBB DR SE
Mailing Address - Street 2:STE 100
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6903
Mailing Address - Country:US
Mailing Address - Phone:770-801-5000
Mailing Address - Fax:770-435-6680
Practice Address - Street 1:4581 S COBB DR SE
Practice Address - Street 2:SUITE 100
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6903
Practice Address - Country:US
Practice Address - Phone:770-801-5000
Practice Address - Fax:770-435-6680
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM2588208000000X
GA58406208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics