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NPI Code Detail

MEDICARE: STEPHEN A DAWKINS MD

MEDICARE: STEPHEN A DAWKINS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0500XPreventive Medicine/Occupational Environmental Medicine Physician033066GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1033066OTHERGASTATE MEDICAL LICENSE
2G87875OTHERCASTATE MEDICAL LICENSE
3ME73519OTHERFLSTATE MEDICAL LICENSE

General Provider Information

NPI Number : 1407917644
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN A DAWKINS MD
Provider Business Mailing Address
First Line : 3 CASCADE POINTE DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30331-8501
Country : US
Telephone Number : 404-761-4040
Fax Number : 404-761-4008
Provider Business Practice Location Address
First Line : 535 N CENTRAL AVE
Second Line :
City : HAPEVILLE
State : GA
Zip : 30354-1603
Country : US
Telephone Number : 404-761-4040
Fax Number : 404-761-4008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/08/2007

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