Dawson, Heather Rose

Dawson, Heather Rose is an individual health care provider with primary practice located at 8761 Dorchester Rd Ste 100 , North Charleston SC 29420-7320. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Dawson, Heather Rose can be contacted via phone (843) 767-3323.

Contact Information

Primary practice address
8761 Dorchester Rd Ste 100 North Charleston SC 29420-7320
Fax: (843) 767-4252
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17172 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17172 South Carolina

Profile Details

NPI number 1396705034
LBN Legal business name Dawson, Heather Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Nov 3rd, 2023 - about last year

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 1396705034 NPPES
South Carolina Other F892010281 PTAN
South Carolina MEDICAID GP6738 PTAN
South Carolina MEDICAID 171726 PTAN

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