Provider Demographics
NPI:1811078041
Name:TOBIN, REBECCA B (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:B
Last Name:TOBIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1717 LEGION ROAD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517
Mailing Address - Country:US
Mailing Address - Phone:919-932-1171
Mailing Address - Fax:919-933-1377
Practice Address - Street 1:1717 LEGION ROAD
Practice Address - Street 2:SUITE 103
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517
Practice Address - Country:US
Practice Address - Phone:919-932-1171
Practice Address - Fax:919-933-1377
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NC9600753207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1633605OtherUNITED HEALTHCARE
NC8983624Medicaid
NC4156163OtherCIGNA
NC83624OtherBCBS
NC5702168OtherAETNA
P00297971OtherRAILROAD MEDICARE
NC2225942AMedicare ID - Type Unspecified
NC1633605OtherUNITED HEALTHCARE