Dawson, Jack Edwin

Dawson, Jack Edwin is an individual health care provider with primary practice located at 275 Collier Rd Nw Ste 500, Atlanta GA 30309-1709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dawson, Jack Edwin can be contacted via phone (404) 605-2800.

Contact Information

Primary practice address
275 Collier Rd Nw Ste 500 Atlanta GA 30309-1709
Fax: (404) 351-5983
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 011945 Georgia

Profile Details

NPI number 1326043621
LBN Legal business name Dawson, Jack Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Sep 20th, 2010 - about 14 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 1326043621 NPPES
Georgia MEDICAID 000099118MNOP

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