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
Phone: (404) 605-2800
Fax: (404) 351-5983
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326043621 | NPPES |
| Georgia | MEDICAID | 000099118MNOP |
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