Provider Demographics
NPI:1588252852
Name:DOBSON HEALTH & WELLNESS PLLC
Entity type:Organization
Organization Name:DOBSON HEALTH & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHANNEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:DOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, FNP-C
Authorized Official - Phone:336-918-9429
Mailing Address - Street 1:4265 BROWNSBORO RD STE 230
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3425
Mailing Address - Country:US
Mailing Address - Phone:336-774-0490
Mailing Address - Fax:661-241-9562
Practice Address - Street 1:4265 BROWNSBORO RD STE 230
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3425
Practice Address - Country:US
Practice Address - Phone:336-770-0490
Practice Address - Fax:661-241-9562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No251J00000XAgenciesNursing Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service