Individual
DR. BOBBY D PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2311 LAKE PARK DR, ALBANY, GA 31707-3183
(229) 435-0525
(229) 434-9827
Mailing address
PO BOX 71367, ALBANY, GA 31708-1367
(229) 435-0525
(229) 434-9827
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
035735
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000642661M
—
GA
01
—
GRP4292
MEDICARE GROUP NUMBER
GA
Enumeration date
09/12/2005
Last updated
04/30/2013
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