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Individual

MRS. REJEANA L DOBBS-GRANNUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
8629 WOOD SPRINGS CT, DOUGLASVILLE, GA 30135-1684
(678) 939-9099
(678) 302-9601
Mailing address
8629 WOOD SPRINGS CT, DOUGLASVILLE, GA 30135-1684
(678) 939-9099
(678) 302-9601

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
246078
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
246078
AMT CERTIFICATION
IL
Enumeration date
04/27/2020
Last updated
04/27/2020
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