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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093855934 NPPES
Georgia MEDICAID 000751638F

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