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Contact Information

ROBERT T DAMBACH JR, DO
4720 NELSON BROGDON BLVD
SUGAR HILL, GA30518-3480
 Phone: 770-945-1990
 Fax: 770-945-3631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBERT T DAMBACH JR · (Male)

NPI # 1538161252
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/12/2005
Last updated 10/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 030039
  • GA Other 52022005 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • GWINNETT MEDICAL CENTER - (Acute Care)
    1000 MEDICAL CENTER BOULEVARD
    LAWRENCEVILLE, GA 30045
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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