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Individual

DR. DON ANTONIO DUBOSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1911 GADSDEN ST STE 204, COLUMBIA, SC 29201-6400
(803) 851-0642
Mailing address
1911 GADSDEN ST STE 204, COLUMBIA, SC 29201-6400
(803) 851-0642

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
002561
GA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
32612
SC

Other

Enumeration date
04/21/2008
Last updated
12/06/2016
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