Provider Demographics
NPI:1336186212
Name:DOBSON, ANGELA KAY (DC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:KAY
Last Name:DOBSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6030 KNIGHT ARNOLD RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-3348
Mailing Address - Country:US
Mailing Address - Phone:901-795-4300
Mailing Address - Fax:901-795-4300
Practice Address - Street 1:6030 KNIGHT ARNOLD RD
Practice Address - Street 2:SUITE 4
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-3348
Practice Address - Country:US
Practice Address - Phone:901-795-4300
Practice Address - Fax:901-795-4300
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000000779111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2084945OtherCIGNA
TN3033984OtherBLUE CROSS BLUE SHIELD
U33198Medicare UPIN
TN3033984OtherBLUE CROSS BLUE SHIELD