Individual
JACKSON RANDOLPH DOBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA/C
Contact information
Practice address
3164 US HIGHWAY 70, BLACK MOUNTAIN, NC 28711-6302
(828) 669-4505
(828) 669-5112
Mailing address
23 RED ROBIN WAY, MARION, NC 28752-4158
(781) 507-3284
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02013
NC
Other
Enumeration date
09/06/2005
Last updated
12/09/2015
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