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Individual

DR. J. DANIEL BOBBITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
645 AMALIA ST, NE, CONCORD, NC 28025-2434
(704) 295-3255
(704) 295-3279
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
21536
NC
207W00000X
Ophthalmology Physician
Primary
21536
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000307926
UNISON HEALTH PLAN OF SC
SC
01
16403
BCBSNC
NC
01
17595
WELLPATH
NC
01
30077322
SELECT HEALTH OF SC
SC
01
771029
WELLCARE
SC
05
89-16403
NC
01
P00853306
RAILROAD MEDICARE
NC
05
Q21536
SC
Enumeration date
10/24/2006
Last updated
11/18/2013
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