Healthcare Provider Details

I. General information

NPI: 1144647793
Provider Name (Legal Business Name): PAUL DABNEY NMD, MPH, M.ED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2014
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 PARK DR
DECATUR GA
30030-4482
US

IV. Provider business mailing address

165 PARK DR
DECATUR GA
30030-4482
US

V. Phone/Fax

Practice location:
  • Phone: 706-244-4948
  • Fax:
Mailing address:
  • Phone: 706-244-4948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: