Healthcare Provider Details

I. General information

NPI: 1760209449
Provider Name (Legal Business Name): DAVID DOBBINS FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 OLD ROBERTS RD # 102
BENSON NC
27504-8047
US

IV. Provider business mailing address

125 POND MOUNTAIN DR
CLAYTON NC
27520-3903
US

V. Phone/Fax

Practice location:
  • Phone: 919-934-2600
  • Fax:
Mailing address:
  • Phone: 919-820-7518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5020847
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: