Individual
TERRIANO LASHEA DOBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3312 NORTHSIDE DR, MACON, GA 31210-2500
(478) 747-2027
Mailing address
3312 NORTHSIDE DR, MACON, GA 31210-2500
(478) 477-2682
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO078512
GA
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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