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Tracy D Bland Dubose, MD
Obstetrics & Gynecology Physician in Lithonia, Georgia
NPI 1952395535

Tracy D Bland Dubose is a Obstetrics & Gynecology Physician based in Atlanta, GA. Tracy D Bland Dubose practices in Lithonia, GA and has the professional credentials of MD. The NPI Number for Tracy D Bland Dubose is 1952395535 and holds a License No. 052865 (Georgia).

The current practice location address for Tracy D Bland Dubose is 5440 Hillandale Dr, Lithonia, GA and can be reached out via phone at 770-322-2716 and via fax at 770-322-3244.

Location: 5440 Hillandale Dr, Lithonia, GA, 30305-1717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952395535
Provider Name
Tracy D Bland Dubose
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5440 Hillandale Dr, Lithonia, GA, 30305-1717
Phone Number
770-322-2716
Fax Number
770-322-3244
Provider Enumeration Date
09/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
994626282A 05 GA
58-1397572 01 GA FEDERAL TAX ID#
institution
Provider Business Practice Location Address Details
Address
5440 Hillandale Dr
City
Lithonia
State
Georgia
Zip
30058-4865
Phone Number
770-322-2716
Fax Number
770-322-3244
person
Provider Business Mailing Address Details
Address
5440 Hillandale Dr
City
Lithonia
State
Georgia
Zip
30058-4865
Phone Number
770-322-2716
Fax Number
770-322-3244
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
052865 (Georgia)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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