Jennifer V Dobbs

Individual provider Active NPI Case Manager/Care Coordinator · Bremen, GA

NPI 1063763993 · NPPES record last updated Oct 2, 2012

Key facts

NPI
1063763993
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
BCW SC (GA)
Practice address
194 Charleston Ave
Bremen, GA 30110-7913
Phone
(770) 328-1736
NPI assigned
Oct 2, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BCW SCGAMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X BCW SC GA Yes

Addresses

Primary practice location

194 Charleston Ave
Bremen, GA 30110-7913

Mailing address

194 Charleston Ave
Bremen, GA 30110-7913
Phone (770) 328-1736

Other providers in Bremen, GA

All providers in Bremen, GA · Case Manager/Care Coordinator in Georgia

Sources for this page

Verify at the official NPI Registry.