NPI age
20 years
Enumerated 2005-09-09
● Active
Type 1 · Individual
Tracy D Bland Dubose, MD
Bland Dubose is 1 of 13 obstetrics & gynecology providers in Lithonia and 1 of 1893 in Georgia.
Primary specialty
Obstetrics & Gynecology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-01-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1893 active obstetrics & gynecology providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
5440 Hillandale Dr, Department Of Ob Gyn
Lithonia, GA 300584865
Mailing address
3495 Piedmont Rd Ne, Nine Piedmont Center
Atlanta, GA 303051717
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 994626282A | |
| 01 (GA) | 58-1397572 | FEDERAL TAX ID# |
Practice context
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
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