Provider Demographics
NPI:1073527370
Name:DOBBINS, EMILY WHITE (CFNP)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:WHITE
Last Name:DOBBINS
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:ELAINE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 RICHLAND MEDICAL PARK
Mailing Address - Street 2:PALMETTO SENIOR CARE STE 203
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203
Mailing Address - Country:US
Mailing Address - Phone:803-434-3770
Mailing Address - Fax:803-434-3773
Practice Address - Street 1:5110 FAIRFIELD ROAD
Practice Address - Street 2:PALMETTO SENIOR CARE EAU CLAIRE
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-691-5650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1105363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily