Prince, Bobby D

Prince, Bobby D is an individual health care provider with primary practice located at 2311 Lake Park Dr , Albany GA 31707-3183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Prince, Bobby D can be contacted via phone (229) 435-0525.

Contact Information

Primary practice address
2311 Lake Park Dr Albany GA 31707-3183
Phone: (229) 435-0525
Fax: (229) 434-9827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 035735 Georgia

Profile Details

NPI number 1114911641
LBN Legal business name Prince, Bobby D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Apr 30th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114911641 NPPES
Georgia MEDICAID 000642661M
Georgia Other GRP4292

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