Provider Demographics
NPI:1336127323
Name:DOBYNS, THOMAS ELROY (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ELROY
Last Name:DOBYNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4579 S AMHERST HWY
Mailing Address - Street 2:P.O. BOX 939
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:24572-5343
Mailing Address - Country:US
Mailing Address - Phone:434-528-4431
Mailing Address - Fax:434-528-5504
Practice Address - Street 1:4579 S AMHERST HWY
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:24572-5343
Practice Address - Country:US
Practice Address - Phone:434-528-4431
Practice Address - Fax:434-528-5504
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101034444207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB05211Medicare UPIN