Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BOBBY EATMON
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · OXFORD, NC
Registration Details
- NPI Number
- 1336276716
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2007 (19.147662317244 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MHL039034 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5019 DORSEY RDOXFORD, NC, 275658305Browse NC providers · Browse ZIP 27565
- Phone
- 2522131525
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.