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Individual
SARA ELIZABETH BOBO
Active
Individual
SARA ELIZABETH BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN269980
GA
207R00000X
Internal Medicine Physician
RN269980
GA
363L00000X
Nurse Practitioner
Primary
RN269980
GA
Other
Enumeration date
08/25/2023
Last updated
12/01/2023
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