Individual
MR. DAVID Q BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
5004 BARRINGTON DR, ALBANY, GA 31721-8990
(229) 435-8566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN044286
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000556036D
—
GA
Enumeration date
11/02/2005
Last updated
06/08/2015
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