MEDICARE: DR. THOMAS ELROY DOBYNS 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	207Q00000X	Family Medicine Physician	0101034444	VA

General Provider Information

NPI Number	:	1336127323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS ELROY DOBYNS M.D.

Provider Business Mailing Address
First Line	:	4579 S AMHERST HWY
Second Line	:	P.O. BOX 939
City	:	MADISON HEIGHTS
State	:	VA
Zip	:	24572-5343
Country	:	US
Telephone Number	:	434-528-4431
Fax Number	:	434-528-5504

Provider Business Practice Location Address
First Line	:	4579 S AMHERST HWY
Second Line	:
City	:	MADISON HEIGHTS
State	:	VA
Zip	:	24572-5343
Country	:	US
Telephone Number	:	434-528-4431
Fax Number	:	434-528-5504

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	07/08/2007

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