MEDICARE: BARBARA ANN DOBBINS RN

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
1	163W00000X	Registered Nurse	RN124635	GA

General Provider Information

NPI Number	:	1306017611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA ANN DOBBINS RN

Provider Business Mailing Address
First Line	:	2353 SHELBY ST
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31903-3328
Country	:	US
Telephone Number	:	706-507-6659
Fax Number	:

Provider Business Practice Location Address
First Line	:	2353 SHELBY ST
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31903-3328
Country	:	US
Telephone Number	:	706-507-6659
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2008
Last Update Date	:	03/13/2008

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