Provider Demographics
NPI:1114713419
Name:DOBBS, BRANDICE N
Entity type:Individual
Prefix:MRS
First Name:BRANDICE
Middle Name:N
Last Name:DOBBS
Suffix:
Gender:
Credentials:
Other - Prefix:MRS
Other - First Name:BRANDICE
Other - Middle Name:
Other - Last Name:HILL DOBBS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:584 LAKEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29860-7021
Mailing Address - Country:US
Mailing Address - Phone:803-221-7556
Mailing Address - Fax:
Practice Address - Street 1:584 LAKEVIEW RD
Practice Address - Street 2:
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29860-7021
Practice Address - Country:US
Practice Address - Phone:803-221-7556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver