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Individual

DR. RANDAL L. DABBS

Active
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Individual

DR. RANDAL L. DABBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD010273
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000293133
BLUE CROSS
KY
05
00123519
MS
01
1383V
BLUE CROSS
NC
05
2004772000
WV
01
3112581
BLUE CROSS
TN
05
3816671
TN
05
3816673
TN
05
5901029
NC
01
5M433
BLUE CROSS
AR
01
P00384361
RAILROAD MEDICARE
TN
Enumeration date
05/28/2006
Last updated
11/06/2007
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