Provider Demographics
NPI:1689631434
Name:DOBO, GEORGE FRANK (MEDICAL DOCTOR)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:FRANK
Last Name:DOBO
Suffix:
Gender:M
Credentials:MEDICAL DOCTOR
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Mailing Address - Street 1:111 MARBLE MILL RD NW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1047
Mailing Address - Country:US
Mailing Address - Phone:770-422-1013
Mailing Address - Fax:770-514-5996
Practice Address - Street 1:5041 DALLAS HWY
Practice Address - Street 2:STE D
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127
Practice Address - Country:US
Practice Address - Phone:770-427-5467
Practice Address - Fax:770-427-6340
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2011-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA047734207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA887028OtherBCBS
GA070016666OtherMEDICARE RAILROAD
GA070016666OtherMEDICARE RAILROAD
GA887028OtherBCBS