MEDICARE: DR. ANDREW PACE DABBS 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
1	208600000X	Surgery Physician	DR.0071251	CO
2	208600000X	Surgery Physician	16018	MS
3	208600000X	Surgery Physician	209728	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871538652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW PACE DABBS M.D.

Provider Business Mailing Address
First Line	:	1003 HOLLAND AVE
Second Line	:	SUITE 101
City	:	PHILADELPHIA
State	:	MS
Zip	:	39350-2161
Country	:	US
Telephone Number	:	601-663-1234
Fax Number	:	601-663-1236

Provider Business Practice Location Address
First Line	:	1003 HOLLAND AVE STE 101
Second Line	:
City	:	PHILADELPHIA
State	:	MS
Zip	:	39350-2180
Country	:	US
Telephone Number	:	601-663-1234
Fax Number	:	601-663-1236

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

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	12/09/2025

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Directions to “ DR. ANDREW PACE DABBS M.D.” Practice Location

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