SAMUEL B COBARRUBIAS MD, PC
Ambulatory Health at Carswell St, Homerville, GA

License number
Georgia 1002
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. SAMUEL COBARRUBIAS MD
Title: PRESIDENT
Phone: (912) 487-1654
Address
Address
180 Carswell St, Homerville, GA 31634
National Provider ID: 1336455823
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SAMUEL B. COBARRUBIAS, M.D., PC

180 Carswell St, Homerville, GA 31634

Registration:
Dec 20, 2000
State ID:
0101117
Business type:
Domestic Professional Corporation
CEO:
B. Samuel Cobarrubias (CEO), 180 Carswell St, Homerville, GA 31634 (Physical)
Agent:
Samuel B. Cobarrubias,180 Carswell St, Homerville, GA (Physical)

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