Organization
DUBLIN INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN BARR (ASST. ADMINISTRATOR)
(478) 272-1366
Entity
Organization
Contact information
Practice address
104 FAIRVIEW PARK DR, DUBLIN, GA 31021
(478) 272-1366
(478) 277-1922
Mailing address
P O BOX 1528, DUBLIN, GA 31040
(478) 272-1366
(478) 277-1922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55000983A
—
GA
Enumeration date
09/14/2006
Last updated
12/09/2009
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