Provider Demographics
NPI:1245455716
Name:COBBLE, GINGER (SA-C)
Entity type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:
Last Name:COBBLE
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 RIVERVIEW ESTATES LANE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37336
Mailing Address - Country:US
Mailing Address - Phone:423-614-5871
Mailing Address - Fax:
Practice Address - Street 1:410 RIVERVIEW ESTATES LANE
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TN
Practice Address - Zip Code:37336
Practice Address - Country:US
Practice Address - Phone:423-614-5871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist