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Individual

ALLISON ANNE DUBLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
895 CANTON RD NE, MARIETTA, GA 30060-8934
(770) 427-8111
Mailing address
895 CANTON RD NE, MARIETTA, GA 30060-8934
(770) 427-8111

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT190481
PA
207W00000X
Ophthalmology Physician
Primary
073351
GA
207W00000X
Ophthalmology Physician
MT784108
DC
207W00000X
Ophthalmology Physician
N9446
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1770791725
BLUE CROSS BLUE SHIELD
TX
05
310917501
TX
05
310917502
TX
01
P01186495
MEDICARE RR
TX
01
P01258426
MEDICARE RR
TX
Enumeration date
05/21/2007
Last updated
01/14/2016
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