Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1144647793 |
---|---|
Provider Name | Dr. Paul Dabney |
First Address | Toccoa, GA 30577-6002 |
Second Address | Toccoa, GA 30577-6002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2014 |
Last Update Date | 20/03/2014 |