Tracy D Bland Dubose, MD Valid NPI
Individual provider · Obstetrics & Gynecology Physician · Lithonia, GA
- NPI
- 1952395535
- Type
- Individual (Type 1)
- Primary specialty
- Obstetrics & Gynecology Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207V00000X
- License number
- 052865 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-09-09
- Last updated
- 2022-01-13
Practice location
5440 Hillandale Dr, Department Of Ob Gyn
Lithonia, GA 30058-4865
(770) 322-2716