Dawson, Angela Kathleen
Dawson, Angela Kathleen is an individual health care provider with primary practice located at Coastal Child 1331 Ocean Blvd Suite 103, St. Simons Island GA 31522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Dawson, Angela Kathleen can be contacted via phone (706) 509-3500.Contact Information
Primary practice address
Coastal Child 1331 Ocean Blvd Suite 103
St. Simons Island GA 31522
Phone: (706) 509-3500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 040895 | Georgia |
Profile Details
NPI number | 1093855934 |
---|---|
LBN Legal business name | Dawson, Angela Kathleen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2007 |
Last updated | May 5th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093855934 | NPPES |
Georgia | MEDICAID | 000751638F |
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