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Individual

DR. SCOTT DOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
211 BATESVILLE RD, SIMPSONVILLE, SC 29681-4816
(864) 272-0388
(864) 213-9237
Mailing address
525 VERDAE BLVD STE 200, GREENVILLE, SC 29607-4021
(864) 272-0388
(864) 213-9237

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24580
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11622238
CAQH #
SC
01
203730220
TAX ID #
SC
01
24580
STATE LICENSE #
SC
05
245808
SC
Enumeration date
07/18/2006
Last updated
02/20/2019
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