Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant |
NPI | 1205286994 |
---|---|
Provider Name | Ms. Janet Cobbs-Post |
First Address | Fort Stewart, GA 31314 |
Second Address | Fort Stewart, GA 31314-5641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2016 |
Last Update Date | 29/10/2018 |