Provider Demographics
NPI:1942244652
Name:SOBRINHO, TITO C (MD)
Entity Type:Individual
Prefix:DR
First Name:TITO
Middle Name:C
Last Name:SOBRINHO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3614 J DEWEY GRAY CIR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6602
Mailing Address - Country:US
Mailing Address - Phone:706-860-2949
Mailing Address - Fax:706-860-4842
Practice Address - Street 1:3614 J DEWEY GRAY CIR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6602
Practice Address - Country:US
Practice Address - Phone:706-860-2949
Practice Address - Fax:706-860-4842
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0175572080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine