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Contact Information

JENNIFER B COBERNUS, DO
852 DACULA RD
DACULA, GA30019
 Phone: 770-848-9360
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JENNIFER B COBERNUS · (Female)

NPI Number 1184079196
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/27/2016
Last updated 01/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 82467
Hospital affiliation(s)
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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