Dubose, Philip James
Dubose, Philip James is an individual health care provider with primary practice located at 401 Old Albany Rd , Thomasville GA 31792-4014. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Dubose, Philip James can be contacted via phone (229) 228-8100.Contact Information
Primary practice address
401 Old Albany Rd
Thomasville GA 31792-4014
Phone: (229) 228-8100
Fax: (229) 228-8154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY002549 | Georgia |
Profile Details
| NPI number | 1730112723 |
|---|---|
| LBN Legal business name | Dubose, Philip James |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730112723 | NPPES |
| Georgia | MEDICAID | 00923007B |
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