Provider Demographics
NPI:1699076612
Name:DEANS, BOBBIE SAMANTHA (RRT)
Entity type:Individual
Prefix:
First Name:BOBBIE
Middle Name:SAMANTHA
Last Name:DEANS
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2475 MOODY CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27856-8226
Mailing Address - Country:US
Mailing Address - Phone:252-904-0966
Mailing Address - Fax:
Practice Address - Street 1:204 E ARLINGTON BLVD STE M
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5022
Practice Address - Country:US
Practice Address - Phone:252-321-9300
Practice Address - Fax:252-321-9390
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5954227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered