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Contact Information

DUBLIN INTERNAL MEDICINE
104 FAIRVIEW PARK DR
DUBLIN, GA31021
 Phone: 478-272-1366
 Fax: 478-277-1922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DUBLIN INTERNAL MEDICINE · (Female)

NPI # 1073618856
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2006
Last updated 12/09/2009 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA Medicaid 55000983A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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