Provider Demographics
NPI:1447706080
Name:COBB, MEGAN ELIZABETH (PA)
Entity type:Individual
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First Name:MEGAN
Middle Name:ELIZABETH
Last Name:COBB
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Gender:F
Credentials:PA
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601
Mailing Address - Country:US
Mailing Address - Phone:757-316-5960
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:500 J CLYDE MORRISL BLVD
Practice Address - Street 2:SUITE 603
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601
Practice Address - Country:US
Practice Address - Phone:757-534-5340
Practice Address - Fax:757-594-3456
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
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Provider Licenses
StateLicense IDTaxonomies
VA0110005437363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant