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Individual

MR. VITO TOBIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA

Contact information

Practice address
1968 PEACHTREE ROAD NW, ATLANTA, GA 30309-1281
(404) 351-1754
(404) 351-7121
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001840
GA
367H00000X
Anesthesiologist Assistant
Primary
001840
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
344721852E
GA
Enumeration date
03/05/2007
Last updated
10/06/2010
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