Provider Demographics
NPI:1982936860
Name:GADDY-DUBAC, LADSON B (MD)
Entity Type:Individual
Prefix:DR
First Name:LADSON
Middle Name:B
Last Name:GADDY-DUBAC
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 1209
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28744-0569
Mailing Address - Country:US
Mailing Address - Phone:828-213-1500
Mailing Address - Fax:828-651-6570
Practice Address - Street 1:143 ASHELAND AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4013
Practice Address - Country:US
Practice Address - Phone:828-258-9191
Practice Address - Fax:828-232-0031
Is Sole Proprietor?:No
Enumeration Date:2010-02-03
Last Update Date:2018-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2009-02132207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8375AMedicare PIN