Individual
JACK MELVIN DABBS SR.
Active
Individual
JACK MELVIN DABBS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00002799
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001564
—
AL
01
—
042010575
PALMETTO GOVERNMENT CLAIM
—
01
—
1010211
UNITED HEALTHCARE
—
Enumeration date
03/08/2006
Last updated
11/18/2011
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