Provider Demographics
NPI:1659828283
Name:DOBEY, MYRA JOANNE (RN)
Entity Type:Individual
Prefix:
First Name:MYRA
Middle Name:JOANNE
Last Name:DOBEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 COLLINGWOOD DR SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-6347
Mailing Address - Country:US
Mailing Address - Phone:770-480-7895
Mailing Address - Fax:
Practice Address - Street 1:1641 COLLINGWOOD DR SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-6347
Practice Address - Country:US
Practice Address - Phone:267-235-6261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN089826164W00000X
PAPN293099164W00000X
GARN299183163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse