Individual
VICTOR D TOBIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 SWANSON DR STE 103, LAWRENCEVILLE, GA 30043-8537
(770) 680-0885
Mailing address
333 SWANSON DR STE 103, LAWRENCEVILLE, GA 30043-8537
(770) 680-0885
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
067-R-1255
GA
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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