Provider Demographics
NPI:1902885023
Name:DOBSON, AMY TOBUREN (MS)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:TOBUREN
Last Name:DOBSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:TOBUREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1911 THURMOND MALL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-2375
Mailing Address - Country:US
Mailing Address - Phone:803-356-6854
Mailing Address - Fax:803-356-2511
Practice Address - Street 1:1911 THURMOND MALL
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2375
Practice Address - Country:US
Practice Address - Phone:803-356-6854
Practice Address - Fax:803-356-2511
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS