Provider Demographics
NPI:1588672323
Name:JOBIN, GARY C (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:C
Last Name:JOBIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:108 HOUSTON ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2455
Mailing Address - Country:US
Mailing Address - Phone:540-463-2227
Mailing Address - Fax:540-463-3833
Practice Address - Street 1:108 HOUSTON ST
Practice Address - Street 2:SUITE B
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2455
Practice Address - Country:US
Practice Address - Phone:540-463-2227
Practice Address - Fax:540-463-3833
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101018623207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010251729Medicaid
VA010251729Medicaid
VA010251729Medicaid
010194C82Medicare PIN