Provider Demographics
NPI:1245582659
Name:DABKOWSKI, TABITHA LYNN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:TABITHA
Middle Name:LYNN
Last Name:DABKOWSKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:18571 VINEYARD POINT LN
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-7989
Mailing Address - Country:US
Mailing Address - Phone:508-415-3134
Mailing Address - Fax:
Practice Address - Street 1:557 BROOKDALE DR
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-4107
Practice Address - Country:US
Practice Address - Phone:508-415-3134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-09
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant