Provider Demographics
NPI:1699369975
Name:DOWNEY, BOBBIE JO (CPS)
Entity Type:Individual
Prefix:
First Name:BOBBIE
Middle Name:JO
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:CPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 FRANKLIN PKWY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:GA
Mailing Address - Zip Code:30217-7508
Mailing Address - Country:US
Mailing Address - Phone:706-675-6399
Mailing Address - Fax:
Practice Address - Street 1:1206 FRANKLIN PKWY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:GA
Practice Address - Zip Code:30217-7508
Practice Address - Country:US
Practice Address - Phone:706-675-6399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist