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NPI Code Detail

MEDICARE: DR. CAROLYN LEE DOBBS M.D.

MEDICARE: DR. CAROLYN LEE DOBBS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician00015994AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3G588OTHERALMEDICARE GROUP NUMBER ,

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4051516632OTHERALBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1285621409
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLYN LEE DOBBS M.D.
Provider Business Mailing Address
First Line : 601 WEST BLVD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35206-1300
Country : US
Telephone Number : 205-591-5180
Fax Number : 205-510-3476
Provider Business Practice Location Address
First Line : 601 WEST BLVD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35206-1300
Country : US
Telephone Number : 205-591-5180
Fax Number : 205-510-3476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 03/01/2010

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